Organization Active NPI

Finger Lakes Dermatology

  • Specialist
  • Auburn, NY
National Provider Identifier
1023200722
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Jul 29, 2014

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.