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MANHASSET DERMATOLOGY, P.C.
NPI 1205060662
Specialist in Manhasset, NY

Active since May 13, 2009
1165 NORTHERN BLVD, SUITE 405, MANHASSET, NY 11030(516) 365-8030(516) 365-8058 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Manhasset Dermatology, P.c. NPPES

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

MANHASSET DERMATOLOGY, P.C. (NPI 1205060662) is a healthcare organization registered as a specialist in Manhasset, New York and active in the NPI registry since May 2009. The organization lists John Steven Walczyk, President, as its authorized official.

NPPES Registry Identity

NPI1205060662
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMANHASSET DERMATOLOGY, P.C.
Location Address1165 NORTHERN BLVD, SUITE 405Manhasset, NY 11030-3048
Mailing Address1165 Northern Blvd, Suite 405Manhasset, NY 11030-3048 · (516) 365-8030 · Fax (516) 365-8058
Phone(516) 365-8030
Fax(516) 365-8058
Organization SubpartNo
Authorized OfficialJohn Steven WalczykPresident · (516) 365-8030
Enumeration DateMay 13, 2009
✔ NPI 1205060662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 191586
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1165 NORTHERN BLVD, Manhasset, NY 11030
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

PHYLLIS M. STERNEMANN
Speech-Language Pathologist
1165 NORTHERN BLVD, SUITE 403
MANHASSET, NY 11030
Nassau County (516) 627-3036
ERIC M PERRY LAC
Acupuncturist
1165 NORTHERN BLVD, SUITE 300
MANHASSET, NY 11030
Nassau County (516) 627-4433
DR. ROSEANN M RUSSO M.D.
Internal Medicine
1165 NORTHERN BLVD, SUITE 300
MANHASSET, NY 11030
Nassau County (516) 608-6820
JOHN STEVEN WALCZYK M.D.
Dermatology
1165 NORTHERN BLVD, SUITE 405
MANHASSET, NY 11030
Nassau County (516) 365-8030
LISA CAROLINE PREDMORE AU.D.
Audiologist
1165 NORTHERN BLVD, SUITE 302
MANHASSET, NY 11030
Nassau County (516) 627-7600
SUSAN GYIMOTY
Speech-Language Pathologist
1165 NORTHERN BLVD, SUITE 202
MANHASSET, NY 11030
Nassau County (516) 627-3036
DR. JOHN AMATO
Speech-Language Pathologist
1165 NORTHERN BLVD, SUITE 403
MANHASSET, NY 11030
Nassau County (516) 627-3036
MARILYN RUBENSTEIN
Speech-Language Pathologist
1165 NORTHERN BLVD, SUITE 403
MANHASSET, NY 11030
Nassau County (516) 627-3036

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 Manhasset Dermatology, P.C.'s NPI number?

The NPI number for Manhasset Dermatology, P.C. is 1205060662. It was assigned to this organization in the NPPES registry on May 13, 2009.

Where is Manhasset Dermatology, P.C. located?

Manhasset Dermatology, P.C. is located at 1165 Northern Blvd Suite 405, Manhasset, NY 11030. The listed phone number is (516) 365-8030.

What is Manhasset Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Manhasset Dermatology, P.C. was last updated on May 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.