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

Mack Dermatology, PC

Organization Specialist · NPI 1720485808

Mack Dermatology, PC provides Specialist services 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

130 E 18th St Ste 1U
New York, NY 10003-2416 Not confirmed with CMS for 11 years — call before visiting
Phone: (917) 912-3615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 245368 (NY)

Record details

NPI number1720485808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lian Mack — Owner · (917) 912-3615
Other names Glamderm
NPI enumeratedDecember 4, 2014
Last updated in NPPESDecember 4, 2014
Mailing address130 E 18th St, Suite 1u, New York, NY 10003-2416

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