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 1497017552

Advanced Dermatology of New York, PC is a Specialist in Bronx, New York. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1455 W Ave
Bronx, NY 10462-7304
Phone: (212) 262-2500
Fax: (212) 765-3210
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1497017552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Jaeger — Officer · (212) 262-2500
NPI enumeratedJune 13, 2012
Last updated in NPPESDecember 8, 2014
Mailing address200 Central Park S, Suite 107, New York, NY 10019-1436

Other providers in Bronx