NPI Registry.org

Niagara Dermatology Associates Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
NIAGARA DERMATOLOGY ASSOCIATES LLC16496108582022-01-09

The organization Niagara Dermatology Associates Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1649610858. Registration indicates Niagara Dermatology Associates Llc is a provider of services with a specialization in Dermatology (Allopathic & Osteopathic Physicians, Dermatology) (Specialist Network, ) (Dermatology, Allopathic & Osteopathic Physicians)

Entity TypeOrganization
Provider OrganizationNIAGARA DERMATOLOGY ASSOCIATES LLC
Practice Office Address5320 MILITARY RD
STE 104
LEWISTON, NY US
Practice Office Telephone7162058324
Practice Office Fax7162058593
Mailing Address5320 MILITARY RD
STE 104
LEWISTON, NY 140922149 US
Business Telephone7162058324
Business Fax7162058593
Authorized OfficialCRAIG CAMERON MILLER, MEMBER
7162058324
HPT Codes
CodePractice
License No
State
207N00000X PRIMARY
Dermatology

Allopathic & Osteopathic Physicians
Dermatology
Specialist Network

Dermatology
Allopathic & Osteopathic Physicians
211871
NY
193400000X SINGGroup Code
OPI Codes
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