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

North East Dermatology PLLC

Organization Dermatology Physician · NPI 1164239026

North East Dermatology PLLC provides Dermatology Physician services in Flushing, New York. Registered with an NPI since 2024.

In the registry since
2024
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

3516 Francis Lewis Blvd
Flushing, NY 11358-1954
Phone: (646) 580-1210
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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 number1164239026
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carey Kim — Director · (646) 580-1210
NPI enumeratedDecember 14, 2024
Last updated in NPPESDecember 14, 2024
Certification dateDecember 14, 2024
Mailing address418 Broadway Ste R, Albany, NY 12207-2922

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