Dermatology Services of Kingston P.C.

Organization Active NPI Procedural Dermatology Physician · Kingston, NY

NPI 1699713040 · NPPES record last updated Feb 10, 2012

Key facts

NPI
1699713040
Entity type
Organization (NPI type 2)
Primary specialty
Procedural Dermatology Physician 207NS0135X
Legal business name
DERMATOLOGY SERVICES OF KINGSTON P.C.
Practice address
368 Broadway
Kingston, NY 12401-5144
Phone
(845) 338-7472
Fax
(845) 331-4191
NPI assigned
Jun 4, 2006
Organization subpart
No

Authorized official

Name
Dr. Marie-Louise T Johnson, M.D. PHD
Title
M.D.
Phone
(845) 338-7472

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

368 Broadway
Ste 202
Kingston, NY 12401
Phone (845) 338-7472

368 Broadway
Ste 104
Kingston, NY 12401
Phone (845) 338-7472

368 Broadway
Ste 105
Kingston, NY 12401
Phone (845) 334-8635

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207NS0135X Yes

Addresses

Primary practice location

368 Broadway
Kingston, NY 12401-5144

Mailing address

368 Broadway, Suite 202
Kingston, NY 12401-5144
Phone (845) 338-7472

Other providers in Kingston, NY

All providers in Kingston, NY · Procedural Dermatology Physician in New York

Sources for this page

Verify at the official NPI Registry.