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

Advanced Dermatology PC

Organization Dermatology Physician · NPI 1790951069

Advanced Dermatology PC is a Dermatology Physician in Stony Brook, 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

2500 Nesconset Hwy Bldg 10
Stony Brook, NY 11790-2555
Phone: (631) 689-3188
Fax: (631) 751-6644
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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 number1790951069
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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