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

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: July 19, 2026.

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
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

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

The NPI number assigned to this healthcare provider is 1598852329, enumerated as an "organization" on October 05, 2006.

The provider is located at 826 WASHINGTON STREET SUITE 104 WATERTOWN, NY 13601 and the phone number is (315) 786-1500.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.