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

Park Avenue Dermatology, PC

Organization Specialist · NPI 1730393042

Park Avenue Dermatology, PC provides Specialist services in Staten Island, New York. Registered with an NPI since 2007.

In the registry since
2007
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

31 Tioga St
Staten Island, NY 10301-4329
Phone: (718) 981-5040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1730393042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominick Ligresti — Doctor · (718) 981-5040
NPI enumeratedMay 9, 2007
Last updated in NPPESFebruary 2, 2017
Mailing address31 Tioga St, Staten Island, NY 10301-4329

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