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

Clark Dermatology, LLC

Organization Dermatology Physician · NPI 1417316274

Clark Dermatology, LLC is a Dermatology Physician in Staten Island, New York. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1324 Victory Blvd
Staten Island, NY 10301-3917
Phone: (718) 448-4488
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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

Record details

NPI number1417316274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Doctoroff — Owner · (732) 574-1399
Other names Metropolitan Dermatology
NPI enumeratedFebruary 22, 2016
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address469 Morris Ave Ste 3, Elizabeth, NJ 07208-2904

Other providers in Staten Island