Provider Demographics
NPI: | 1861861759 |
---|---|
Name: | UNITED SKIN SPECIALISTS, LTD PC |
Entity type: | Organization |
Organization Name: | UNITED SKIN SPECIALISTS, LTD PC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ERIC |
Authorized Official - Middle Name: | S |
Authorized Official - Last Name: | SCHWEIGER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 212-283-3000 |
Mailing Address - Street 1: | 33 E 33RD ST FL 12 |
Mailing Address - Street 2: | |
Mailing Address - City: | NEW YORK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10016-5362 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 212-283-3000 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4100 W 50TH ST |
Practice Address - Street 2: | |
Practice Address - City: | EDINA |
Practice Address - State: | MN |
Practice Address - Zip Code: | 55424-1200 |
Practice Address - Country: | US |
Practice Address - Phone: | 952-929-8888 |
Practice Address - Fax: | 952-929-9669 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | UNITED SKIN SPECIALISTS, LTD |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2015-09-21 |
Last Update Date: | 2024-08-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207NS0135X | Allopathic & Osteopathic Physicians | Dermatology | Procedural Dermatology | Group - Single Specialty |