Provider profile · NPI 1083610521

Advanced Dermatology Of New York Pc

Dermatology · New York, NY · NPI 1083610521 · 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

Jun 21, 2005

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING200 CENTRAL PARK S STE 107New York, NY 10019-1449212-262-2500
LOCATION200 CENTRAL PARK S STE 107New York, NY 10019-1449212-262-2500

View on NPPES registry ↗

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