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METHODIST OUTRACH LAB
NPI 1205912813
Dermatology - Clinical & Laboratory Dermatological Immunology in Brooklyn, NY

Active since October 27, 2006
506 6TH ST, BROOKLYN, NY 11215(718) 780-3016 Get Directions Write a Review

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

About Methodist Outrach Lab NPPES

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

METHODIST OUTRACH LAB (NPI 1205912813) is a healthcare organization registered as a clinical & laboratory dermatological immunology in Brooklyn, New York and active in the NPI registry since October 2006. The organization lists Rabia Mir, Director, as its authorized official.

NPPES Registry Identity

NPI1205912813
Entity TypeOrganization
Primary Taxonomy207NI0002X
Legal Business NameMETHODIST OUTRACH LAB
Location Address506 6TH STBrooklyn, NY 11215-3609
Mailing Address1900 Hempstead Tpke, Suite 500East Meadow, NY 11554-1724 · (516) 542-1090 · Fax (516) 794-8165
Phone(718) 780-3016
Organization SubpartNo
Authorized OfficialRabia MirDirector · (718) 780-3016
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205912813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
Definition
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
506 6TH ST, Brooklyn, NY 11215
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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 20

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

DR. VIVIAN JOLLEY BEA M.D.
Surgery
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-3288
YANJIN YANG
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-3000
JOY THERESE MULLEN RN, NP
Nurse Practitioner (Adult Health)
506 6TH ST, EP2
BROOKLYN, NY 11215
Kings County (718) 780-5040
ASHWAD AFZAL M.D.
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-5246
DR. DANIAH ALBOKHARI M.D.
Student in an Organized Health Care Education/Training Program
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-5260
SASIS SIRIKANJANAPONG
Pathology (Anatomic Pathology)
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-3634
DR. DANIELLE ABADI MD
Pediatrics
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-5260
KOREN H KWAG MD
Student in an Organized Health Care Education/Training Program
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-3000

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 Methodist Outrach Lab's NPI number?

The NPI number for Methodist Outrach Lab is 1205912813. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Methodist Outrach Lab located?

Methodist Outrach Lab is located at 506 6th St, Brooklyn, NY 11215. The listed phone number is (718) 780-3016.

What is Methodist Outrach Lab's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

When was this NPI record last updated?

The NPPES record for Methodist Outrach Lab 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.