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

Keris Laser and Dermatologic Surgery, PLLC

Organization Dermatology Physician · NPI 1316217318

Keris Laser and Dermatologic Surgery, PLLC is a Dermatology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
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

166 5th Ave 2nd Fl
New York, NY 10010-5909
Phone: (212) 229-0333
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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 201210 (NY)

Record details

NPI number1316217318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sumayah Jamal — Owner · (212) 229-0333
NPI enumeratedJanuary 6, 2012
Last updated in NPPESJanuary 6, 2012
Mailing address166 5th Ave, 2nd Floor, New York, NY 10010-5909

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