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DERMATOLOGIC SURGERY AT CRYSTAL RUN
NPI 1164509246
Dermatology - MOHS-Micrographic Surgery in Pomona, NY

Active since November 01, 2006
7A MEDICAL PARK DR, POMONA, NY 10970(845) 354-1169(845) 362-5126 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dermatologic Surgery At Crystal Run NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGIC SURGERY AT CRYSTAL RUN (NPI 1164509246) is a healthcare organization registered as a mohs-micrographic surgery in Pomona, New York and active in the NPI registry since November 2006. The organization lists Yehuda David Eliezri, President, as its authorized official.

NPPES Registry Identity

NPI1164509246
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDERMATOLOGIC SURGERY AT CRYSTAL RUN
Location Address7A MEDICAL PARK DRPomona, NY 10970-3516
Mailing Address28 Rykowski LnMiddletown, NY 10941-4018 · (845) 692-3376 · Fax (845) 692-0124
Phone(845) 354-1169
Fax(845) 362-5126
Organization SubpartNo
Authorized OfficialYehuda David EliezriPresident · (845) 692-3376
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164509246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in NY · 154268
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
7A MEDICAL PARK DR, Pomona, NY 10970
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YEHUDA D. ELIEZRI, M.D. P.C.
Dermatology (Procedural Dermatology)
7A MEDICAL PARK DR
POMONA, NY 10970
Rockland County (845) 354-1169
DR. TAREK JEREMY AFIF M.D.
Dermatology (MOHS-Micrographic Surgery)
7A MEDICAL PARK DR
POMONA, NY 10970
Rockland County (845) 354-1169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatologic Surgery At Crystal Run's NPI number?

The NPI number for Dermatologic Surgery At Crystal Run is 1164509246. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Dermatologic Surgery At Crystal Run located?

Dermatologic Surgery At Crystal Run is located at 7A Medical Park Dr, Pomona, NY 10970. The listed phone number is (845) 354-1169.

What is Dermatologic Surgery At Crystal Run's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Dermatologic Surgery At Crystal Run was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.