Provider Demographics
NPI: | 1326129990 |
---|---|
Name: | ENGELMAN, DENDY ELIZABETH (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | DENDY |
Middle Name: | ELIZABETH |
Last Name: | ENGELMAN |
Suffix: | |
Gender: | |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 535 5TH AVE FL 33 |
Mailing Address - Street 2: | |
Mailing Address - City: | NEW YORK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10017-3665 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 843-557-3780 |
Mailing Address - Fax: | 212-888-7770 |
Practice Address - Street 1: | 535 5TH AVE FL 33 |
Practice Address - Street 2: | |
Practice Address - City: | NEW YORK |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10017-3665 |
Practice Address - Country: | US |
Practice Address - Phone: | 843-557-3780 |
Practice Address - Fax: | 212-777-8808 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-10-18 |
Last Update Date: | 2025-05-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 248577 | 207NS0135X, 207ND0101X, 207NS0135X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207NS0135X | Allopathic & Osteopathic Physicians | Dermatology | Procedural Dermatology |
No | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology | MOHS-Micrographic Surgery |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NY | 1326129990 | Other | NPI |
NY | 1326129990 | Other | NPI |