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

Empire Dermatology PLLC

Organization Dermatology Physician · NPI 1336698406

Empire Dermatology PLLC is a Dermatology Physician in East Syracuse, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
Specialties on file
3
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

5823 Widewaters Pkwy Ste 4
East Syracuse, NY 13057-3084
Phone: (315) 500-7546
Fax: (888) 454-8316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 282257 (NY)
Dermatology Physician Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1336698406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Madden — Practice Manager · (315) 935-9247
NPI enumeratedSeptember 29, 2016
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023
Mailing address5823 Widewaters Pkwy, Suite 4, East Syracuse, NY 13057-3084

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