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

Isabelle Ponge Wilson MD PC

Organization Dermatology Physician · NPI 1396866281

Isabelle Ponge Wilson MD PC provides Dermatology Physician services in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
3
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

50 Park Ave
New York, NY 10016-3075 Not confirmed with CMS for 13 years — call before visiting
Phone: (212) 679-4134
Fax: (212) 679-7079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 198244 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 198244 (NY)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 198244 (NY)

Record details

NPI number1396866281
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Isabelle Ponge Wilson — Doctor · (212) 679-4134
NPI enumeratedApril 2, 2007
Last updated in NPPESJanuary 3, 2013
Mailing address50 Park Ave, New York, NY 10016-3075

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