MAGNOLIA DERMATOLOGY, PLLC
NPI 1932889102
Dermatology in Latham, NY
About Magnolia Dermatology, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAGNOLIA DERMATOLOGY, PLLC (NPI 1932889102) is a healthcare organization registered as a dermatology in Latham, New York and active in the NPI registry since July 2023. The organization holds a CLIA Certificate of Compliance certificate valid through March 11, 2028 and lists Virginia Tracey, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 33D2340140
Magnolia Dermatology · Latham, NYOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LATHAM, NY 12110
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 Magnolia Dermatology, PLLC's NPI number?
The NPI number for Magnolia Dermatology, PLLC is 1932889102. It was assigned to this organization in the NPPES registry on July 21, 2023.
Where is Magnolia Dermatology, PLLC located?
Magnolia Dermatology, PLLC is located at 582 New Loudon Rd, Latham, NY 12110. The listed phone number is (518) 888-2012.
What is Magnolia Dermatology, PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Magnolia Dermatology, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D2340140) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Magnolia Dermatology, PLLC was last updated on May 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
