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

Eastbay Medical PC

Organization Dermatology Physician · NPI 1063272474

Eastbay Medical PC is a Dermatology Physician in Bellmore, New York. Registered with an NPI since 2024.

In the registry since
2024
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

2307 Bellmore Ave
Bellmore, NY 11710-5651
Phone: (516) 308-7070
Fax: (516) 308-7071
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1063272474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Fabrikant — Do · (516) 308-7070
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address2307 Bellmore Ave, Bellmore, NY 11710-5651

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