YOUNG SKIN (NPI# 1477175966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477175966 |
| Entity Type | Organization |
| Organization Name | YOUNG SKIN |
| Practice Address |
1111 Summer St Stamford CT 06905-5508 |
| Mailing Address |
54 Bruce Park Dr Greenwich CT 06830-7202 |
| Practice Telephone | 2039527747 |
| Mailing Telephone | 2039527747 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | DR. SARYNA PUTMAN YOUNG (OWNER) |
| Authorized Official Telephone | 2039527747 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | YOUNG SKIN LLC | 142 Old Gate Lane, Milford, CT 06460 |
| Connecticut Business Registrations | YOUNG SKIN, LLC | 1111 Summer Street, Stamford, CT 06905 |
| Street Address |
1111 SUMMER ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| 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 |
|---|---|---|---|---|
| 1154663300 | Sandeep Singh Saluja | Dermatology | 999 Summer St Ste 305, Stamford, CT 06905-5513 | 2013-03-25 |
| 1154495950 | Robin D Evans | Dermatology | 1275 Summer St Ste 101, Stamford, CT 06905-5315 | 2006-11-20 |
| 1154417293 | Rhett James Drugge | Dermatology | 50 Glenbrook Rd, Unit 1c, Stamford, CT 06902-2914 | 2006-10-05 |
| 1568488294 | Ellen S Naidorf | Dermatology | 22 Long Ridge Rd, Stamford, CT 06905-3812 | 2006-07-14 |
| 1386630085 | Fern Ellen Mayer | Dermatology | 132 Morgan St, Stamford, CT 06905-5431 | 2005-09-27 |
| 1033472568 | Shimrat R Notik | Dermatology | 999 Summer St, Ste 305, Stamford, CT 06905-5513 | 2012-06-19 |
| 1134394109 | Elizabeth Gaines-cardone | Dermatology | 1290 Summer St, Suite 3600, Stamford, CT 06905-5360 | 2008-04-29 |
| 1992970354 | Rebecca Ross Hall | Dermatology | 1290 Summer St, Stamford, CT 06905-5360 | 2008-04-28 |
| 1700068103 | Severine Marie Chavel | Dermatology | 1290 Summer St, Suite # 3600, Stamford, CT 06905-5360 | 2007-11-28 |
| 1992879795 | Southern Connecticut Dermatology, P.C. | Dermatology | 1275 Summer Street, Suite 101, Stamford, CT 06905 | 2006-11-20 |
| Find all providers in STAMFORD | ||||
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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.