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 1497921795

Advanced Dermatology PC is a Dermatology Physician in New York, 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

130 W 86th St
New York, NY 10024-4040
Phone: (212) 787-2929
Fax: (212) 787-3077
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 number1497921795
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

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