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

Russak Dermatology PC

Organization Medical Specialty Clinic/Center · NPI 1487992871

Russak Dermatology PC provides Medical Specialty Clinic/Center services in New York, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
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

115 E 57th St 12th Fl
New York, NY 10022-2049 Not confirmed with CMS for 13 years — call before visiting
Phone: (212) 684-5964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 249307-1 (NY)

Record details

NPI number1487992871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Russak — Owner · (212) 684-5964
NPI enumeratedJanuary 21, 2013
Last updated in NPPESJanuary 21, 2013
Mailing address115 E 57th St, 12th Floor, New York, NY 10022-2049

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