=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245204023
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DERMATOLOGY ASSOCIATES OF YORK INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/16/2006
-----------------------------------------------------
Last Update Date | 02/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 205 SAINT CHARLES WAY
-----------------------------------------------------
City | YORK
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-741-4666
-----------------------------------------------------
Fax | 717-741-9649
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 205 SAINT CHARLES WAY
-----------------------------------------------------
City | YORK
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-741-4666
-----------------------------------------------------
Fax | 717-741-9649
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | STEVEN CAPLAN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 717-741-4666
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207N00000X
-----------------------------------------------------
Taxonomy Name | Dermatology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------