Provider Demographics
NPI:1679694343
Name:ACCURATE DERMATOLOGY P.L.L.C.
Entity type:Organization
Organization Name:ACCURATE DERMATOLOGY P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BIJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SETAREH-SHENAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-822-9730
Mailing Address - Street 1:1550 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6406
Mailing Address - Country:US
Mailing Address - Phone:718-787-2215
Mailing Address - Fax:718-787-1899
Practice Address - Street 1:700 OLD COUNTRY RD
Practice Address - Street 2:SUITE 203
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4932
Practice Address - Country:US
Practice Address - Phone:516-822-9730
Practice Address - Fax:516-822-9764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02109566Medicaid
Y39799Medicare UPIN
WBW021Medicare PIN