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

Dermatologic Surgery at Crystal Run

Organization MOHS-Micrographic Surgery Physician · NPI 1164509246

Dermatologic Surgery at Crystal Run is an MOHS-Micrographic Surgery Physician in Pomona, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

7A Medical Park Dr
Pomona, NY 10970-3516
Phone: (845) 354-1169
Fax: (845) 362-5126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 154268 (NY)

Record details

NPI number1164509246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yehuda Eliezri — President · (845) 692-3376
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address28 Rykowski Ln, Middletown, NY 10941-4018

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