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

57 West Dermatology LLC

Organization Dermatology Physician · NPI 1306224001

57 West Dermatology LLC is a Dermatology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

57 W 57th St Ste 1109
New York, NY 10019-2802
Phone: (516) 297-2691
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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 196509 (NY)

Record details

NPI number1306224001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Glass — Owner · (516) 297-2691
NPI enumeratedMay 13, 2015
Last updated in NPPESMay 13, 2015
Mailing address57 W 57th St, Suite 1109, New York, NY 10019-2802

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