Wainwright Dermatology, PLLC
Organization Active NPI Dermatology Physician · Cross River, NY
NPI 1457550352 · NPPES record last updated Jan 23, 2012
Key facts
- NPI
- 1457550352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 234018 (NY)
- Legal business name
- WAINWRIGHT DERMATOLOGY, PLLC
- Practice address
- 19 North Salem Road
2ND Floor
Cross River, NY 10518-0365 - Phone
- (914) 763-3000
- Fax
- (718) 518-8616
- NPI assigned
- Jul 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Brent Wainwright, MD
- Title
- Pricipal Physician - One Member LLC
- Phone
- (914) 763-3000
Practitioners 1
-
Andrea Bourke, RPA-C
National Provider Directory
Locations
19 N Salem Rd
Ste 2
Cross River, NY 10518
Phone (914) 763-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | 234018 | NY | Yes |
Addresses
Primary practice location
19 North Salem Road
2ND Floor
Cross River, NY 10518-0365
Mailing address
PO Box 365
Cross River, NY 10518-0365
Phone (914) 763-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598737462 | Other | INDIVIDUAL NPI |
Other providers in Cross River, NY
- Denise Marie Stumacher
- Michael John Sweeney
- Therapeutic Acupuncture Wellness PLLC
- Tri County Promises Inc
- Christian Tsakanikas
- Marc David Waldman
- Rebecca Walkley
- Joan B Weiler
- Dorothy J. Whalen
- Jennifer White
All providers in Cross River, NY · Dermatology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.