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

Cosmetic Surgery and Derm, PLLC

Organization Physician Assistant · NPI 1780086678

Cosmetic Surgery and Derm, PLLC is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

117 E 18th St Ste 1
New York, NY 10003-2113
Phone: (212) 673-5633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 018002 (NY)

Record details

NPI number1780086678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Torres — Medical Director · (212) 673-5633
Other names Dermgroupnyc
NPI enumeratedSeptember 23, 2014
Last updated in NPPESSeptember 23, 2014
Mailing address117 E 18th St, Suite 1, New York, NY 10003-2113

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