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

Massapequa Dermatology PLLC

Organization Dermatology Physician · NPI 1184735193

Massapequa Dermatology PLLC provides Dermatology Physician services in Massapequa, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

70 Grand Ave
Massapequa, NY 11758-4906 Not confirmed with CMS for 11 years — call before visiting
Phone: (516) 799-1600
Fax: (516) 799-1454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 171086 (NY)

Record details

NPI number1184735193
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Kessler — Owner · (516) 799-1600
NPI enumeratedAugust 31, 2006
Last updated in NPPESApril 22, 2015
Mailing address70 Grand Ave, Massapequa, NY 11758-4906

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