Provider profile · NPI 1508048240

Advanced Dermatology Of New York Pc

Dermatology · Bronx, NY · NPI 1508048240 · 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

Dec 5, 2007

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING200 CENTRAL PARK S SUITE 107New York, NY 10019-1436212-262-2500
LOCATION291 E 149TH ST Bronx, NY 10451-5601718-742-1000

View on NPPES registry ↗

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