Independent Dermatopathology, P.C.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

8434 Issued in NY

Legal business name

INDEPENDENT DERMATOPATHOLOGY, P.C.

Practice address

216 Congers Rd
BLDG 2 Suite a
New City, NY 10956-6261

Phone

(914) 629-8756

NPI assigned

Feb 16, 2010

Organization subpart

No

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

Authorized official

Name

Scott Sanders, MD

Title

Director

Phone

(914) 629-8756

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1982926010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CONGERS RD",
            "address_2": "BLDG 2 SUITE A",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566261",
            "telephone_number": "914-629-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CONGERS RD",
            "address_2": "BLDG 2 SUITE A",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566261",
            "telephone_number": "914-629-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT DERMATOPATHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-629-8756",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "8434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in New City, NY
• Providers in New City, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.