Provider profile · NPI 1043486319

Advanced Dermatology Pc

Dermatology · West Islip, NY · NPI 1043486319 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Dermatology

Enumerated

May 6, 2008

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING6 LOWELL AVE New Hyde Park, NY 11040-2810516-326-4160
LOCATION510 MONTAUK HWY West Islip, NY 11795-4422631-587-1132

View on NPPES registry ↗

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