Dr. Darren Keith Mollick
Dermatologist Procedural Dermatology Pediatric Dermatologist MOHS-Micrographic Surgeon
175 Jericho Tpke Suite 320
Syosset
, New York 11791-4532
Dr. Darren Keith Mollick
Dermatologist Procedural Dermatology Pediatric Dermatologist MOHS-Micrographic Surgeon
175 Jericho Tpke Suite 320
Syosset
, New York 11791-4532
(516) 921-6780
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Pediatric Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Darren Keith Mollick
- 175 Jericho Tpke Suite 320
- Syosset, NY
- Zip : 11791-4532
- Phone : (516) 921-6780
Second Address
- Dr. Darren Keith Mollick
- 175 Jericho Tpke Suite 320
- Syosset, NY
- Zip : 11791-4532
- Phone : (516) 921-6780
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 217820 | NY |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 217820-4 | NY |
| N | 207NP0225X | Pediatric Dermatologist | 217820 | NY |
| N | 207NS0135X | Procedural Dermatology | 217820 | NY |
National Provider Identifier
| NPI | 1225012552 |
|---|---|
| Provider Name | Dr. Darren Keith Mollick |
| First Address | Syosset, NY 11791-4532 |
| Second Address | Syosset, NY 11791-4532 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2005 |
| Last Update Date | 02/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H74136 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.