Mid Island Dermatology

Primary specialty

SpecialistTaxonomy code 174400000X

License

187786 Issued in NY

Legal business name

MID ISLAND DERMATOLOGY

Practice address

55 Post Ave
Westbury, NY 11590-4361

Phone

(516) 334-6650

Fax

(516) 334-8708

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Abraham I Abittan, M.D.

Title

Owner

Phone

(516) 295-3838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1821135609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981242",
            "telephone_number": "516-295-3838",
            "fax_number": "516-295-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115904361",
            "telephone_number": "516-334-6650",
            "fax_number": "516-334-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ISLAND DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "ABITTAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-295-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "187786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bakhom Micheal
• Amanda Michel
• Jeff Wensly Michel
• Richard M Michelin
• Bonnie Sue Michelman
• Mid Nassau Medical Care for Kidz, LLC
• Midway Drugs
• Keneisha Mighty
• Nicole Ann Marie Mikolajczak
• Stephanie Miles

• Specialist in Westbury, NY
• Providers in Westbury, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.