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

Manhasset Dermatology, PC

Organization Specialist · NPI 1205060662

Manhasset Dermatology, PC provides Specialist services in Manhasset, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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

1165 Northern Blvd Ste 405
Manhasset, NY 11030-3048 Not confirmed with CMS for 17 years — call before visiting
Phone: (516) 365-8030
Fax: (516) 365-8058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 191586 (NY)

Record details

NPI number1205060662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Walczyk — President · (516) 365-8030
NPI enumeratedMay 13, 2009
Last updated in NPPESMay 13, 2009
Mailing address1165 Northern Blvd, Suite 405, Manhasset, NY 11030-3048

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