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NPI 1801393160 · live from the CMS NPI Registry

Joanna Dong, MD

Dermatology in West Nyack, NY. National Provider Identifier 1801393160, active.

NPI record

NPI1801393160 Type 1 · individual
StatusActive
Primary specialtyDermatology 207N00000X
Practice location2 Centerock Rd, West Nyack, NY 10994
Practice phone845-703-9999
Mailing address8414 Naab Rd, Indianapolis, IN 46260
EnumeratedApril 12, 2018
Last updatedMay 15, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology207N00000X75055 (CT)
Dermatology, MOHS-Micrographic Surgery207ND0101XD0097632 (MD)
Dermatology primary207N00000X321191-01 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.