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City Central Dermatology PLLC

NPI 1780977579ActiveOrganization· Specialist· Elmhurst, NY

Specialist in Elmhurst, New York, registered in NPPES in May 2011. The authorized official on file is Michael Berry, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1780977579
StatusActive
Entity typeOrganization
NPI issuedMay 26, 2011
Last updated in NPPESMay 26, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NY)

Medicare sources and data years

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