PARK AVENUE DERMATOLOGY
NPI 1447642103
Legal Medicine in Staten Island, NY

Active since March 04, 2015
31 TIOGA ST, STATEN ISLAND, NY 10301(718) 981-5040 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Park Avenue Dermatology NPPES

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

PARK AVENUE DERMATOLOGY (NPI 1447642103) is a healthcare organization registered as a legal medicine in Staten Island, New York and active in the NPI registry since March 2015. The organization lists Amanda Dick, Ofice Manager, as its authorized official.

NPPES Registry Identity

NPI1447642103
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NamePARK AVENUE DERMATOLOGY
Location Address31 TIOGA STStaten Island, NY 10301
Mailing Address31 Tioga StStaten Island, NY 10301 · (718) 981-5040
Organization SubpartNo
Authorized OfficialAmanda DickOfice Manager · (718) 981-5040
Enumeration DateMarch 4, 2015
NPI 1447642103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License Licensed in NY · 018032
Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

31 TIOGA ST, Staten Island, NY 10301

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

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

Specialist
31 TIOGA ST
STATEN ISLAND, NY 10301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447642103, enumerated as an "organization" on March 04, 2015.

The provider is located at 31 TIOGA ST STATEN ISLAND, NY 10301 and the phone number is (718) 981-5040.

Legal Medicine with taxonomy code 173000000X.