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

Laboratory of Dermatopathology Adx, LLC

Organization Dermatopathology (Pathology) Physician · NPI 1487663860

Laboratory of Dermatopathology Adx, LLC is a Dermatopathology (Pathology) Physician in Woodbury, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

80 Crossways Park Dr Ste 100
Woodbury, NY 11797-2047
Phone: (516) 944-3883
Fax: (516) 833-2936
Show map & directions

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

Specialties & licences

Dermatopathology (Pathology) Physician (primary) Taxonomy 207ZD0900X · Licence PFI 3199 (NY)

Record details

NPI number1487663860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Grattendick — Cfo · (561) 514-5822
NPI enumeratedAugust 5, 2006
Last updated in NPPESAugust 28, 2019
Mailing address11025 Rca Center Dr, Suite 300, Palm Beach Gardens, FL 33410-4269

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