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

Eastside Medical Office , PC

Organization Dermatology Physician · NPI 1215095930

Eastside Medical Office , PC is a Dermatology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
6
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

58 E 116th St
New York, NY 10029-1147
Phone: (212) 876-9700
Fax: (212) 876-5745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 198749 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 214914 (NY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 136246 (NY)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 176228 (NY)
Nephrology Physician Taxonomy 207RN0300X · Licence 205570 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 230776 (NY)

Record details

NPI number1215095930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zaw Oo — President · (212) 876-9700
NPI enumeratedDecember 5, 2006
Last updated in NPPESOctober 24, 2014
Mailing address3117 41st St, Astoria, NY 11103-3901

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