FINGER LAKES DERMATOLOGY PLLC (NPI# 1508402710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508402710 |
| Entity Type | Organization |
| Organization Name | FINGER LAKES DERMATOLOGY PLLC |
| Practice Address |
2141 Dryden Rd Freeville NY 13068 |
| Mailing Address |
2141 Dryden Road Freeville NY 13068-9611 |
| Practice Telephone | 4846823602 |
| Mailing Telephone | 6077081330 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | DR. BRAD YENTZER (OWNER) |
| Authorized Official Telephone | 6077081330 |
| 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 |
|---|---|---|
| New York State Corporations | FINGER LAKES DERMATOLOGY PLLC | 276 Midline Road, Slaterville Springs, Ny 14881 |
| Street Address |
2141 DRYDEN RD |
| City | FREEVILLE |
| State | NY |
| Zip Code | 13068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962677138 | Brad A Yentzer | Dermatology | 2141 Dryden Rd, Freeville, NY 13068-9611 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699092643 | Joanne Marie Lorenc | Social Worker | 380 Freeville Rd., Freeville, NY 13068 | 2010-04-30 |
| 1235285396 | Cynthia Marie Palmer-elberty | Dentist | 1 Brooklyn Road, Freeville, NY 13068 | 2007-01-25 |
| 1932568755 | William George Agency | Substance Abuse Rehabilitation Facility | 380 Freeville Rd, Freeville, NY 13068 | 2016-02-22 |
| 1205942752 | Colin Kenneth Dauria | Psychiatry & Neurology | 1451 Dryden Rd, Tompkins/cortland Va Cboc, Freeville, NY 13068 | 2006-08-21 |
| 1629049267 | Richard Weiner | Specialist | 24 Main Street, Freeville, NY 13068 | 2006-01-31 |
| 1861611808 | Wayne H Seeley Dmd PC | Dentist | 2028 Dryden Road, Freeville, NY 13068-0317 | 2007-04-25 |
| 1740305770 | Wayne H Seeley | Dentist | 2028 Dryden Rd, Freeville, NY 13068-0317 | 2007-03-20 |
| 1841436953 | Jens L. Wennberg | Physician Assistant | 501 Midline Rd, Freeville, NY 13068-5625 | 2008-12-18 |
| 1689018038 | Susan R Yanoff | Veterinarian | 295 Irish Settlement Rd, Freeville, NY 13068-5633 | 2013-04-28 |
| 1033448485 | Penny H Baron | Specialist | 445 Ferguson Rd, Freeville, NY 13068-5637 | 2009-12-14 |
| Find all providers in zip 13068 | ||||
| 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 |
|---|---|---|---|---|
| 1962677138 | Brad A Yentzer | Dermatology | 2141 Dryden Rd, Freeville, NY 13068-9611 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636384 | Markowitz Medical Pllc | Dermatology | 1150 5th Ave # Suire1a, New York, NY 10128-0724 | 2020-10-12 |
| 1114545985 | Tarek Yamany Md Pllc | Dermatology | 229 W 60th St Apt 8e, New York, NY 10023-7507 | 2020-07-08 |
| 1952924839 | Elizabeth Jessica Ranelli | Dermatology | 16 W 17th St, New York, NY 10011-5738 | 2020-05-26 |
| 1841811148 | Stuart Daniel Shanler | Dermatology | 53 Underhill Dr, Pomona, NY 10970-2668 | 2020-04-28 |
| 1740800309 | Ns Arora Dermatology Pllc | Dermatology | 99 Jericho Tpke Ste 110, Jericho, NY 11753-1015 | 2020-04-23 |
| 1174163406 | Halite Services Crop | Dermatology | 447 Rose Ln, Rockville Centre, NY 11570-1429 | 2020-01-15 |
| 1235776485 | Libby Rhee Do Dermatology Pllc | Dermatology | 110 E 60th St # 800, New York, NY 10022-1688 | 2019-12-06 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1568018588 | Mary Matina Valinotti | Dermatology | 332 E Main St Ste 1, Bay Shore, NY 11706-8436 | 2019-08-15 |
| 1831751379 | Jessica Weiser, M.d., Pllc | Dermatology | 155 Spring St Fl 5, New York, NY 10012-5208 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
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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.