| Forest Hills Dermatology Group Pllc | |
|
8002 Kew Gardens Rd Ste 107, Kew Gardens, NY 11415-3600 | |
| (718) 459-0900 | |
| (718) 459-0910 |
| Full Name | Forest Hills Dermatology Group Pllc |
|---|---|
| Type | Facility |
| Speciality | Dermatology |
| Location | 8002 Kew Gardens Rd Ste 107, Kew Gardens, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225309586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | N004775 (New York) | Secondary |
| 207N00000X | Dermatology | 206843 (New York) | Primary |
| Provider Name | Fran E Cook Bolden |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710990346 PECOS PAC ID: 2769394857 Enrollment ID: I20031105000778 |
| Provider Name | Jeffrey M Weinberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689660565 PECOS PAC ID: 5698754265 Enrollment ID: I20040716000691 |
| Provider Name | Jeffrey L Ainspan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578541207 PECOS PAC ID: 4385606656 Enrollment ID: I20041028001146 |
| Provider Name | Virgil A Hatcher |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457351975 PECOS PAC ID: 2365533171 Enrollment ID: I20070808000752 |
| Provider Name | Liliya Besedina |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326102609 PECOS PAC ID: 4082860507 Enrollment ID: I20120817000112 |
| Provider Name | Barbara A Casuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912445644 PECOS PAC ID: 7517226095 Enrollment ID: I20180108001467 |
| Provider Name | Brenda Mintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306170402 PECOS PAC ID: 3173866035 Enrollment ID: I20190515002889 |
| Provider Name | Polina Gulkarov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326762840 PECOS PAC ID: 1355701269 Enrollment ID: I20230724001103 |
| Provider Name | Berta Aminova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972247617 PECOS PAC ID: 6103287693 Enrollment ID: I20230731003750 |
| Provider Name | Angela Kakuriyeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538933379 PECOS PAC ID: 1658716980 Enrollment ID: I20240227001318 |
| Provider Name | Diana Badalova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194491779 PECOS PAC ID: 4880031244 Enrollment ID: I20240320002806 |
| Provider Name | Kerrin Rose Cropano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992561807 PECOS PAC ID: 8527591957 Enrollment ID: I20241115002261 |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Hills Dermatology Group Pllc 200 Riverside Blvd Apt 7i, New York, NY 10069-0908 Ph: (718) 459-0900 | Forest Hills Dermatology Group Pllc 8002 Kew Gardens Rd Ste 107, Kew Gardens, NY 11415-3600 Ph: (718) 459-0900 |