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

Gold Coast Dermatology PC

Organization Dermatology Physician · NPI 1578138343

Gold Coast Dermatology PC provides Dermatology Physician services in Commack, New York. Registered with an NPI since 2021.

In the registry since
2021
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

149 Commack Rd Ste B
Commack, NY 11725-3459
Phone: (631) 467-4653
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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 number1578138343
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charisse McCall — President · (631) 467-4653
NPI enumeratedMay 25, 2021
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address149 Commack Rd Ste B, Commack, NY 11725-3459

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