Organization
ISLAND DERMATOLOGY, PC
Active
Organization
ISLAND DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD HARLAN FALCON MD (PRESIDENT)
(516) 432-0011
Entity
Organization
Contact information
Practice address
604 E PARK AVE, LONG BEACH, NY 11561-2505
(516) 432-0011
(516) 432-1686
Mailing address
604 E PARK AVE, LONG BEACH, NY 11561-2505
(516) 432-0011
(516) 432-1686
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01453341
—
NY
01
—
14478
AETNA,USHEALTHCARE
—
01
—
2200149
GHI
—
01
—
373723
AMERIHEALTH
—
01
—
7374
VYTRA
—
01
—
W23131
BLUE CROSS/BLUE SHIELD
—
Enumeration date
05/09/2006
Last updated
07/05/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up