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

Advanced Dermatology PC

Organization Dermatology Physician · NPI 1043486319

Advanced Dermatology PC is a Dermatology Physician in West Islip, New York. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
4
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

510 Montauk Hwy
West Islip, NY 11795-4422
Phone: (631) 587-1132
Fax: (631) 422-4922
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X
Plastic Surgery Physician Taxonomy 208200000X

Record details

NPI number1043486319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lewis Lippner — Administrator · (516) 326-4160
NPI enumeratedMay 6, 2008
Last updated in NPPESMay 6, 2008
Mailing address6 Lowell Ave, New Hyde Park, NY 11040-2810

Other providers in West Islip