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

Active Dermatology PLLC

Organization Dermatology Physician · NPI 1720750573

Active Dermatology PLLC is a Dermatology Physician in Brooklyn, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

488 Decatur St Apt 2
Brooklyn, NY 11233-6682
Phone: (201) 743-9134
Fax: (816) 400-0441
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1720750573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Camille Howard-Verovic — Owner · (201) 743-9134
NPI enumeratedSeptember 30, 2021
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022
Mailing address488 Decatur St Apt 2, Brooklyn, NY 11233-6682

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