DR. ELENA POLLACK (NPI# 1366711350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366711350 |
| Entity Type | Individual |
| Full Name | DR. ELENA POLLACK |
| Credential | M.D. |
| Practice Address |
2015 Grand Concourse Bronx NY 10453-4303 |
| Mailing Address |
1434 Williamsbridge Rd Bronx NY 10461-2507 |
| Practice Telephone | 7182997295 |
| Practice Fax Number | 7182996797 |
| Mailing Telephone | 7186180401 |
| Mailing Fax Number | 3474791303 |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 198759 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01890808 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 761 55th St # 201, Brooklyn, NY 112203210 | 7183607666 |
| Street Address |
2015 GRAND CONCOURSE |
| City | BRONX |
| State | NY |
| Zip Code | 10453-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680389 | Lewis Rogatnick | General Practice | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2005-06-28 |
| 1750982807 | Muhammad Imran Mir | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-11-05 |
| 1841890712 | Enerolisa Paredes | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-29 |
| 1174123574 | Harriet Adwoa Yeboah | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-27 |
| 1386244663 | Kimberly Harrison | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-27 |
| 1992304604 | Angelique Saavedra | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-23 |
| 1528667847 | Isabel Acosta | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-19 |
| 1639776388 | Chelsea Onuorah | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-06 |
| 1356948434 | Franciou Philippeau | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-02 |
| 1023625639 | Anisa Philia Nervais | Registered Nurse | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553225 | Victor Felipe | Occupational Therapist | 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 | 2020-09-17 |
| 1033745849 | Jennifer Vargas | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-03-13 |
| 1457985038 | John Steven Contreras | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-02-24 |
| 1538799648 | Ari Warshawsky | Counselor | Postgraduate Center for Mental Health, 1775 Grand Concourse, 8th Floor, Bronx, NY 10453 | 2020-01-17 |
| 1407403413 | Cristaly Williams | Behavioral Analyst | 2105 Jerome Avenue, Bronx, NY 10453 | 2019-08-23 |
| 1770041204 | Yei Won Lee | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dental Dept, 1775 Grand Concourse, 6th Floor, Bronx, NY 10453 | 2019-03-04 |
| 1265905517 | William Alexander Jones Jr. | Behavior Technician | 1749grand Concourse, 1749 Grand Concourse Apt Ph8, Bronx, NY 10453 | 2019-01-09 |
| 1154810737 | Emily Patricia Mitchell | Occupational Therapist | 2105 Jerome Ave, Bronx, NY 10453 | 2018-05-09 |
| 1417445149 | Ashna N Shah | Student in an Organized Health Care Education/Training Program | Bronx Lebanon Hospital Center 6 Th Floor, 1775 Grand Concourse, Bronx, NY 10453 | 2018-04-27 |
| 1700384328 | Kevin Ponce Obate | Physical Therapist | 1975 University Ave, Bronx, NY 10453 | 2018-01-29 |
| Find all providers in zip 10453 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104211580 | Shira Wieder | Dermatology | 3333 Henry Hudson Pkwy Apt 1b, Bronx, NY 10463-3235 | 2015-04-01 |
| 1508048240 | Advanced Dermatology of New York PC | Dermatology | 291 E 149th St, Bronx, NY 10451-5601 | 2007-12-05 |
| 1477689362 | Susan Katz Md | Dermatology | 1578 Williasbridge Road, Bronx, NY 10461-6265 | 2007-02-26 |
| 1225199243 | Ronald Roman Liteplo | Dermatology | 3176 Bainbridge Avenue, Bronx, NY 10467-3980 | 2006-12-13 |
| 1619075389 | Peter G Burk | Dermatology | 267a W 231st St, Bronx, NY 10463-3903 | 2006-09-20 |
| 1477536068 | Kenneth Edward Bloom | Dermatology | 1455 West Ave, Bronx, NY 10462-7304 | 2005-11-28 |
| 1235124355 | Steven R Cohen | Dermatology | 111 East 210th Street, Division of Dermatology, Bronx, NY 10467-2490 | 2005-09-14 |
| 1295727808 | Eugene J Whang | Dermatology | 3620 E Tremont Ave, 2nd Floor, Bronx, NY 10465-2022 | 2005-08-19 |
| 1518964923 | Advanced Dermatology of New York PC | Dermatology | 2100 Bartow Ave, Ste 211, Bronx, NY 10475-4614 | 2005-06-30 |
| 1972917524 | Emily Hejazi | Dermatology | 111 E 210th St, Bronx, NY 10467-2401 | 2014-06-11 |
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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.