Provider profile · NPI 1790951069

Advanced Dermatology Pc

Dermatology · Stony Brook, NY · NPI 1790951069 · 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
LOCATION2500 NESCONSET HWY BLDG 10Stony Brook, NY 11790-2555631-689-3188
MAILING6 LOWELL AVE New Hyde Park, NY 11040-2810516-326-4160

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