Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cosmetic Surgery and Dermatology PLLC

Organization Dermatology Physician · NPI 1104097013

Cosmetic Surgery and Dermatology PLLC provides Dermatology Physician services in New York, New York. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

117 E 18th St Ste 1
New York, NY 10003-2113
Phone: (212) 673-5633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1104097013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Torres — President · (212) 673-5633
NPI enumeratedMarch 19, 2008
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023
Mailing address117 E 18th St Frnt 1, New York, NY 10003-2113

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