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

Kathleen Vine MD PC

Organization Dermatology Physician · NPI 1942612866

Kathleen Vine MD PC is a Dermatology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
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

24 E 12th St # 304
New York, NY 10003-4513
Phone: (646) 421-6064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2628951 (NY)

Record details

NPI number1942612866
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Vine — Md · (646) 421-6064
NPI enumeratedMay 27, 2014
Last updated in NPPESMay 27, 2014
Mailing address24 E 12th St # 304, New York, NY 10003-4513

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