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

Lighthouse Dermatology, PC

Organization Procedural Dermatology Physician · NPI 1770765893

Lighthouse Dermatology, PC is a Procedural Dermatology Physician in New York, 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 E 59th St Ste 10D
New York, NY 10022-1304
Phone: (212) 583-2920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 206357 (NY)

Record details

NPI number1770765893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soren White — Owner/President · (212) 396-3688
NPI enumeratedNovember 30, 2007
Last updated in NPPESNovember 30, 2007
Mailing address110 E 59th St, Suite 10d, New York, NY 10022-1304

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