NIAGARA DERMATOLOGY ASSOCIATES LLC (NPI# 1649610858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649610858 |
| Entity Type | Organization |
| Organization Name | NIAGARA DERMATOLOGY ASSOCIATES LLC |
| Practice Address |
5320 Military Rd Ste 104 Lewiston NY 14092-2149 |
| Practice Telephone | 7162058324 |
| Practice Fax Number | 7162058593 |
| Mailing Telephone | 7162058324 |
| Mailing Fax Number | 7162058593 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |
| Authorized Official Name | CRAIG CAMERON MILLER (MEMBER) |
| Authorized Official Telephone | 7162058324 |
| Authorized Official Credential | M.D., PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 211871 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
5320 MILITARY RD STE 104 |
| City | LEWISTON |
| State | NY |
| Zip Code | 14092-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467876 | Robert L Bull Jr. | Family Medicine | 5320 Military Rd, Ste 106, Lewiston, NY 14092-2149 | 2005-06-15 |
| 1689013369 | Carrie Lynn Dreibelbis | Physician Assistant | 5320 Military Rd, Suite #104, Lewiston, NY 14092-2149 | 2013-06-17 |
| 1972800431 | Giovanna Plouffe | Nurse Practitioner | 5320 Military Rd, Suite 105, Lewiston, NY 14092-2149 | 2011-02-18 |
| 1033412069 | Baljinder Singh | Psychiatry & Neurology | 5320 Military Rd, Suite 101, Lewiston, NY 14092-2149 | 2010-12-14 |
| 1710299201 | Niagara Neurological Services and Sleep Medicine Pllc | Psychiatry & Neurology | 5320 Military Rd, Suite 101, Lewiston, NY 14092-2149 | 2010-07-13 |
| 1477875110 | Women's Medicine of Niagara, Pllc | Obstetrics & Gynecology | 5320 Military Rd, Ste 103/104, Lewiston, NY 14092-2149 | 2010-02-23 |
| 1578794533 | Lyudmila Yuryevna Nikolaychook | Surgery | 5320 Military Rd, Suite 107, Lewiston, NY 14092-2149 | 2009-08-06 |
| 1164692778 | Zina D. Hajduczok, M.d.p.c. | Internal Medicine | 5320 Military Rd, Suite 105, Lewiston, NY 14092-2149 | 2008-03-11 |
| 1114113966 | Philip Sauvageau | Internal Medicine | 5320 Military Rd, Lewiston, NY 14092-2149 | 2007-09-14 |
| 1073713202 | Nicholas F Zornek PC | Obstetrics & Gynecology | 5320 Military Rd, Suite 103, Lewiston, NY 14092-2149 | 2007-07-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358335 | Samantha Rae Grizanti | Licensed Practical Nurse | 4516 Model City Road, Lewiston, NY 14092 | 2019-10-18 |
| 1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
| 1427251800 | Cheryl Ann Krouse | Massage Therapist | 852 Madison Ave., Lewiston, NY 14092 | 2007-06-06 |
| 1154549756 | Niagara Physical Therapy PC | Specialist | 736 Cayuga Street, Lewiston, NY 14092 | 2007-04-22 |
| 1457486656 | Ronald William Laduca | Social Worker | 400 Oneida St, Lewiston, NY 14092 | 2007-02-21 |
| 1780736884 | Alberta Borgese Micale | Internal Medicine | 445 Fort Gray Drive, Lewiston, NY 14092 | 2007-01-17 |
| 1700944386 | Sherri L Lashomb | Chiropractor | 765 Center Street, Lewiston, NY 14092 | 2006-12-05 |
| 1457444929 | Jennifer Lynn Pofi | Pharmacist | 400 Plain Street, Lewiston, NY 14092 | 2006-10-02 |
| 1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
| 1902864234 | Brenda Lee Perez | Emergency Medicine | 5300 Military Road, Lewiston, NY 14092 | 2006-05-03 |
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| 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 |
|---|---|---|---|---|
| 1720147267 | Marcia A Matuska | Dermatology | 76 High St, Suite 305a, Lewiston, ME 04240-7649 | 2006-12-08 |
| 1538242318 | John W Carlisle | Dermatology | 2315 8th St, Lewiston, ID 83501-7301 | 2006-10-23 |
| 1972529865 | Bates Mill Dermatology, P.l.l.c. | Dermatology | 70 Lincoln St, Mill 6, Lewiston, ME 04240-7721 | 2006-07-14 |
| 1063451896 | Carrine A. Burns | Dermatology | 70 Lincoln St, Lewiston, ME 04240-7792 | 2006-06-06 |
| 1538120043 | Peter H Bouman | Dermatology | 70 Lincoln St, Mill 6, Lewiston, ME 04240-7792 | 2006-04-01 |
| 1861473324 | Craig Cameron Miller | Dermatology | 5320 Military Rd, Ste 104, Lewiston, NY 14092-2149 | 2005-11-10 |
| 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 |
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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.