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

Organization Specialist · NPI 1477863876

Advanced Dermatology of the Bronx PC is a Specialist in Bronx, New York. Registered with an NPI since 2010.

In the registry since
2010
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

291 E 149th St
Bronx, NY 10451-5601
Phone: (718) 742-1000
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 number1477863876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Jaeger — Medical Director · (212) 262-2500
Other names Advanced Dermatology Associates
NPI enumeratedOctober 19, 2010
Last updated in NPPESOctober 19, 2010
Mailing address200 Central Park S, Suite 107, New York, NY 10019-1436

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