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

Cosmetic Surgery and Dermatology PLLC

Organization Dermatology Physician · NPI 1104097013

Cosmetic Surgery and Dermatology PLLC is a Dermatology Physician in New York, New York. Registered with an NPI since 2008.

In the registry since
2008
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

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1104097013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Torres — President · (212) 673-5633
NPI enumeratedMarch 19, 2008
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023
Mailing address117 E 18th St Frnt 1, New York, NY 10003-2113

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