DERMATOLOGY & PLASTIC SURGERY OF NORTHERN NEW YORK PC
NPI 1598852329
Specialist in Watertown, NY

Q: What is Dermatology & Plastic Surgery Of Northern New York PC's specialty?

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

Active since October 05, 2006

826 WASHINGTON STREET, SUITE 104, WATERTOWN, NY 13601(315) 786-1500 Get Directions Write a Review

NPPES record last updated: February 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dermatology & Plastic Surgery Of Northern New York Pc NPPES

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

DERMATOLOGY & PLASTIC SURGERY OF NORTHERN NEW YORK PC (NPI 1598852329) is a healthcare organization registered as a specialist in Watertown, New York and active in the NPI registry since October 2006. The organization lists Barbara Licznerski, President, as its authorized official.

NPPES Registry Identity

NPI1598852329

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameDERMATOLOGY & PLASTIC SURGERY OF NORTHERN NEW YORK PC

Location Address826 WASHINGTON STREET, SUITE 104Watertown, NY 13601-4065

Mailing AddressPo Box 91Watertown, NY 13601-0091 · (315) 782-4207

Phone(315) 786-1500

Organization SubpartNo

Authorized OfficialBarbara LicznerskiPresident · (315) 786-1500

Enumeration DateOctober 5, 2006

Last NPPES UpdateFebruary 18, 2009

✔ NPI 1598852329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

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.

826 WASHINGTON STREET, Watertown, NY 13601

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Other Identifiers 1

OtherAA0167NY · Group Number

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

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 Dermatology & Plastic Surgery Of Northern New York PC's NPI number?

The NPI number for Dermatology & Plastic Surgery Of Northern New York PC is 1598852329. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Dermatology & Plastic Surgery Of Northern New York PC located?

Dermatology & Plastic Surgery Of Northern New York PC is located at 826 Washington Street Suite 104, Watertown, NY 13601. The listed phone number is (315) 786-1500.

What is Dermatology & Plastic Surgery Of Northern New York PC'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 Dermatology & Plastic Surgery Of Northern New York PC was last updated on February 18, 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.