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

New Age Dermatology PLLC

Organization Specialist · NPI 1245347079

New Age Dermatology PLLC provides Specialist services in Middle Village, 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

7812 Metropolitan Ave
Middle Village, NY 11379-2900
Phone: (718) 416-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 206401 (NY)

Record details

NPI number1245347079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Isabella Ilarda — Owner · (973) 616-7117
NPI enumeratedAugust 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address7812 Metropolitan Ave, Middle Village, NY 11379-2900

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