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REVITALIZE DERMATOLOGY & AESTHETICS
NPI 1568184372
Nurse Practitioner - Family in Fayetteville, NY

Active since September 19, 2022
516 E GENESEE ST, FAYETTEVILLE, NY 13066(315) 251-1234(315) 251-1144 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2024, Sep 19, 2022 (2 updates tracked since 2022).

About Revitalize Dermatology & Aesthetics NPPES

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

REVITALIZE DERMATOLOGY & AESTHETICS (NPI 1568184372) is a healthcare organization registered as a family in Fayetteville, New York and active in the NPI registry since September 2022. The organization lists Theresa M. Setter, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568184372
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHERESA SETTER NP FAMILY HEALTH PLLC
Location Address516 E GENESEE STFayetteville, NY 13066-1537
Mailing Address516 E Genesee StFayetteville, NY 13066-1537 · (315) 251-1234 · Fax (315) 251-1144
Phone(315) 251-1234
Fax(315) 251-1144
Organization SubpartNo
Authorized OfficialTheresa M. SetterCeo · (315) 251-1234
Enumeration DateSeptember 19, 2022
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1568184372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedDermatologyTaxonomy 207N00000X
516 E GENESEE ST, Fayetteville, NY 13066
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Other Names 2

Doing Business AsRevitalize Dermatology & Aesthetics
Doing Business AsRevitalize Cny

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 2

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

JEFFREY A. MELTZER, D.M.D.,P.C.
Dentist (Periodontics)
516 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-4466
THERESA M. SETTER APRN-BC
Nurse Practitioner (Family)
516 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 251-1234

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 Theresa Setter Np Family Health PLLC's NPI number?

The NPI number for Theresa Setter Np Family Health PLLC is 1568184372. It was assigned to this organization in the NPPES registry on September 19, 2022. The provider is doing business as Revitalize Dermatology & Aesthetics and Revitalize CNY.

Where is Theresa Setter Np Family Health PLLC located?

Theresa Setter Np Family Health PLLC is located at 516 E Genesee St, Fayetteville, NY 13066. The listed phone number is (315) 251-1234.

What is Theresa Setter Np Family Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Theresa Setter Np Family Health PLLC was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.