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NPI Code Detail

MEDICARE: DR. SNEHAL P AMIN M.D.

MEDICARE: DR. SNEHAL P AMIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ND0101XMOHS-Micrographic Surgery Physician222859-1NY
2207N00000XDermatology Physician222859NY
3207NS0135XProcedural Dermatology Physician222859NY
4207NP0225XPediatric Dermatology Physician222859NY

General Provider Information

NPI Number : 1376585539
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SNEHAL P AMIN M.D.
Provider Business Mailing Address
First Line : 327 E MIDDLE COUNTRY RD
Second Line :
City : SMITHTOWN
State : NY
Zip : 11787-2905
Country : US
Telephone Number : 631-979-0909
Fax Number : 631-979-0455
Provider Business Practice Location Address
First Line : 327 MIDDLE COUNTRY RD
Second Line :
City : SMITHTOWN
State : NY
Zip : 11787-2905
Country : US
Telephone Number : 631-979-0909
Fax Number : 631-979-0455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 01/09/2014

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