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

Ithaca Dermatology PLLC

Organization Dermatology Physician · NPI 1790979417

Ithaca Dermatology PLLC is a Dermatology Physician in Ithaca, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

821 Cliff St
Ithaca, NY 14850
Phone: (607) 256-7546
Fax: (607) 256-0049
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 220803 (NY)

Record details

NPI number1790979417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Silvers — Owner · (607) 256-7546
NPI enumeratedSeptember 6, 2007
Last updated in NPPESJanuary 27, 2010
Mailing address202 Taughannock Blvd, Po Box 366, Ithaca, NY 14851

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