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 Specialist · NPI 1386078236

Advanced Dermatology of New York PC is a Specialist in New York, New York. Registered with an NPI since 2013.

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

200 Central Park S Ste 107
New York, NY 10019-1436
Phone: (212) 262-2500
Fax: (212) 765-3210
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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 number1386078236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Jaeger — Chief Executive Officer · (212) 262-2500
Other names Advanced Dermatology Associates
NPI enumeratedAugust 28, 2013
Last updated in NPPESAugust 28, 2013
Mailing address200 Central Park S, Suite 107, New York, NY 10019-1436

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