1578875530 NPI number — SCHWEIGER DERMATOLOGY PLLC

Table of content: (NPI 1578875530)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578875530 NPI number — SCHWEIGER DERMATOLOGY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SCHWEIGER DERMATOLOGY PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578875530
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/07/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
166 EAST 34 STREET
Provider Second Line Business Mailing Address:
APT 10B
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10016-0000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-283-3000
Provider Business Mailing Address Fax Number:
212-826-6200

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 EAST 55 STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10022-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-283-3000
Provider Business Practice Location Address Fax Number:
212-826-6200
Provider Enumeration Date:
07/07/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SCHWEIGER
Authorized Official First Name:
ERIC
Authorized Official Middle Name:
S
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
212-283-3000

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)