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

Elevate Dermatology, PC

Organization Dermatology Physician · NPI 1932880788

Elevate Dermatology, PC is a Dermatology Physician in Commack, New York. Registered with an NPI since 2023.

In the registry since
2023
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

66 Commack Rd Ste 200
Commack, NY 11725-3405
Phone: (631) 481-7470
Fax: (631) 623-1623
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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 number1932880788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara Koss — President · (917) 575-5306
NPI enumeratedJuly 25, 2023
Last updated in NPPESNovember 19, 2023
Certification dateNovember 19, 2023
Mailing address66 Commack Rd Ste 200, Commack, NY 11725-3405

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