Active NPI
Finger Lakes Dermatology
- Specialist
- Auburn, NY
National Provider Identifier
1023200722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- FINGER LAKES DERMATOLOGY
- Practice address
- 100 Genesee St
Suite 108
Auburn, NY 13021-3642 - Phone
- (315) 252-7539
- Fax
- (315) 252-3885
- NPI assigned
- Aug 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Ash
- Title
- Office Manager
- Phone
- (315) 255-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
100 Genesee St
Suite 108
Auburn, NY 13021-3642
Mailing address
144 Standart Ave
Auburn, NY 13021-1508
Phone (315) 255-1100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406592000000",
"number": "1023200722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 STANDART AVE",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211508",
"telephone_number": "315-255-1100",
"fax_number": "315-255-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GENESEE ST",
"address_2": "SUITE 108",
"city": "AUBURN",
"state": "NY",
"postal_code": "130213642",
"telephone_number": "315-252-7539",
"fax_number": "315-252-3885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FINGER LAKES DERMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-16",
"last_updated": "2014-07-29",
"status": "A",
"authorized_official_last_name": "ASH",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "315-255-1100"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.