BRIDGE DERMATOPATHOLOGY SERVICES PLLC (NPI# 1093274680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093274680 |
| Entity Type | Organization |
| Organization Name | BRIDGE DERMATOPATHOLOGY SERVICES PLLC |
| Practice Address |
560 White Plains Rd Fl 6 Tarrytown NY 10591-5113 |
| Practice Telephone | 9143451101 |
| Mailing Telephone | 9143451100 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | MARK JACOBSON (OWNER) |
| Authorized Official Telephone | 9143451100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| Street Address |
560 WHITE PLAINS RD FL 6 |
| City | TARRYTOWN |
| State | NY |
| Zip Code | 10591-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831178318 | Mark I Jacobson | Pathology | 560 White Plains Rd Fl 6, Tarrytown, NY 10591-5113 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451661 | Viviana Martinez | Counselor | 81 Fairview Avenue, Second Floor, Tarrytown, NY 10591 | 2020-09-14 |
| 1730718834 | Johnny Truong | Student in an Organized Health Care Education/Training Program | Phelps Family Medicine Residency Program, 701 North Broadway, Sleepy Hollow, NY 10591 | 2020-04-02 |
| 1336707314 | Jeffrey Edward Dwulet | Student in an Organized Health Care Education/Training Program | Phelps Memorial Hospital, 701 North Broadway, Sleepy Hollow, NY 10591 | 2019-06-04 |
| 1881188738 | Broadway Cosmetic Dentistry, P.C. | Dentist | 128 South Broadway, Tarrytown, NY 10591 | 2018-06-14 |
| 1356883870 | Kathryn Kearns | Early Intervention Provider Agency | 12 Francis Street, Sleepy Hollow, NY 10591 | 2016-11-15 |
| 1467802058 | Bv Tarrytown Operator LLC | Alzheimer Center (Dementia Center) | 581 Old White Plains Road, Tarrytown, NY 10591 | 2016-06-15 |
| 1316309347 | Harbor Dental | Public Health or Welfare | 55 River Street, Mei Zhang, Dds, Sleepy Hollow, NY 10591 | 2016-03-29 |
| 1770948317 | Hyra Kamecaj Zucker | Counselor | 55 Stephen Drive, Tarrytown, NY 10591 | 2015-12-28 |
| 1396137428 | Jerry Diaz | Health Educator | 173 1/2 Cortlandt St, Sleepy Hollow, NY 10591 | 2015-02-26 |
| 1740670397 | Heather Katz | Internal Medicine | 777 N Broadway Ste 102, Sleepy Hollow, NY 10591 | 2015-02-03 |
| Find all providers in zip 10591 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831541853 | Syed Morteza Abedi | Dermatology | 70 4th Pl, Apt. 2b, Brooklyn, NY 11231-4070 | 2016-07-01 |
| 1255670139 | Lewis Shapiro | Dermatology | 10 City Place - 14a, White Plains, NY 10601-3341 | 2013-02-12 |
| 1265673495 | Dr Miriam N Casal M D P C | Dermatology | 37-42 St, Jackson Heights, NY 11372 | 2009-03-18 |
| 1336343268 | Metro Dermatology of Ny,pc | Dermatology | 14472 Northern Blvd Ste 203, Flushing, NY 11354-4231 | 2007-06-13 |
| 1730213943 | Sutton Place Dermatology, P.C. | Dermatology | 445 East 58th Street, New York, NY 10022 | 2007-03-16 |
| 1346258241 | Muhlbauer Dermatopathology PC | Dermatology | 61 Monroe Avenue, Suite B, Pittsford, NY 14534 | 2006-08-04 |
| 1720057979 | Miriam Norma Casal | Dermatology | 3742 77th St, Jackson Heights, NY 11372-6630 | 2006-03-17 |
| 1609847979 | Teddy D Pan | Dermatology | 105 Everett Rd, Colonie, NY 12205-1407 | 2006-01-27 |
| 1487633970 | Wojciech Szaniawski | Dermatology | 100 Midland Ave, Port Chester, NY 10573-4943 | 2006-01-12 |
| 1912983321 | Mindy Diane Clark | Dermatology | 228 Park Ave S Ste 22156, New York, NY 10003-1502 | 2005-12-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.