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

Empire State Dermatology PLLC

Organization Dermatology Physician · NPI 1649039587

Empire State Dermatology PLLC is a Dermatology Physician in Plattsburgh, New York. Registered with an NPI since 2024.

In the registry since
2024
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

2 Healey Ave
Plattsburgh, NY 12901-2413
Phone: (802) 864-0192
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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 number1649039587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Queen — Authorized Official · (561) 314-2000
NPI enumeratedMarch 14, 2024
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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