DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CENTURY DERMATOLOGY PC

MEDICARE: CENTURY DERMATOLOGY PC
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
1207N00000XDermatology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285231506
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTURY DERMATOLOGY PC
Provider Business Mailing Address
First Line : 5604 7TH AVE STE 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4660
Country : US
Telephone Number : 718-450-8918
Fax Number : 718-450-8919
Provider Business Practice Location Address
First Line : 5604 7TH AVE STE 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4660
Country : US
Telephone Number : 718-450-8918
Fax Number : 718-450-8919
Authorized Official
Title or Position : OWNER
Name : DR. ELENA POLLACK
Credential : MD
Telephone Number : 718-820-6091
Provider Enumeration Date : 10/08/2020
Last Update Date : 04/03/2023

Similar Medicare Providers

1689541682 — CARMEN YU PA-C
Practice Location Address:
5604 7TH AVE STE 1
BROOKLYN, NY
11220-4660
Practice Phone: 718-360-7666
Practice Fax:
1578991964 — MISS LING YAN JIANG P.A
Practice Location Address:
5604 7TH AVE STE 1
BROOKLYN, NY
11220-4660
Practice Phone: 718-820-6091
Practice Fax: 718-450-8919
1477254993 — JOLINA JIAYING CHEN PA-C
Practice Location Address:
5604 7TH AVE STE 1
BROOKLYN, NY
11220-4660
Practice Phone: 917-508-5888
Practice Fax:
1659064194 — JIAXUN ZOU
Practice Location Address:
5604 7TH AVE STE 1
BROOKLYN, NY
11220-4660
Practice Phone: 216-688-5629
Practice Fax:
1114703477 — MENGYUAN YOU PA-C
Practice Location Address:
5604 7TH AVE STE 1
BROOKLYN, NY
11220-4660
Practice Phone: 718-360-7666
Practice Fax: 718-450-8919
1770341984 — JIE FENG
Practice Location Address:
5604 7TH AVE STE 1
BROOKLYN, NY
11220-4660
Practice Phone: 215-359-8890
Practice Fax:

Directions to “CENTURY DERMATOLOGY PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.