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

Advanced Dermatology of New York PC

Organization Dermatology Physician · NPI 1083610521

Advanced Dermatology of New York PC is a Dermatology Physician in New York, New York. Registered with an NPI since 2005.

In the registry since
2005
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

200 Central Park S Ste 107
New York, NY 10019-1449
Phone: (212) 262-2500
Fax: (212) 246-0890
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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 number1083610521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Jaeger — Officer · (212) 262-2500
Other names Advanced Dermatology Associates
NPI enumeratedJune 21, 2005
Last updated in NPPESDecember 10, 2014
Mailing address200 Central Park S, Ste 107, New York, NY 10019-1449

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