Garden City Dermatology, PC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011987 Issued in NY

Legal business name

GARDEN CITY DERMATOLOGY, PC

Practice address

901 Stewart Ave
Garden City, NY 11530-4893

Phone

(516) 227-3376

NPI assigned

Jan 2, 2008

Last updated

Jan 2, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Theodore DalyNPI 1518965441

Title

Physician

Phone

(516) 227-3376

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theodore J Daly, M.D.

  • Legal Medicine
  • Garden City, NY
  • NPI 1518965441
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1659556363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893",
            "telephone_number": "516-227-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-227-3376",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garden City Audiology
• Garden City Chemists Inc
• Garden City Colon & Rectal Surgical Practice, P.C.
• Garden City Dentistry of New York
• Garden City Dentistry PC
• Garden City Dermatology, PC
• Garden City Endodontics, PLLC
• Garden City Mall Vision Express LLC
• Garden City Maternal-Fetal Medicine P.C
• Garden City Medical Office PLLC

• Physician Assistant in Garden City, NY
• Providers in Garden City, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.