Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Dermatology of New York, PC

Organization Specialist · NPI 1497017552

Advanced Dermatology of New York, PC provides Specialist services in Bronx, New York. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1455 W Ave
Bronx, NY 10462-7304 Not confirmed with CMS for 11 years — call before visiting
Phone: (212) 262-2500
Fax: (212) 765-3210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1497017552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Jaeger — Officer · (212) 262-2500
NPI enumeratedJune 13, 2012
Last updated in NPPESDecember 8, 2014
Mailing address200 Central Park S, Suite 107, New York, NY 10019-1436

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