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

Manhasset Dermatology, PC

Organization Specialist · NPI 1205060662

Manhasset Dermatology, PC is a Specialist in Manhasset, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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

1165 Northern Blvd Ste 405
Manhasset, NY 11030-3048
Phone: (516) 365-8030
Fax: (516) 365-8058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 191586 (NY)

Record details

NPI number1205060662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Walczyk — President · (516) 365-8030
NPI enumeratedMay 13, 2009
Last updated in NPPESMay 13, 2009
Mailing address1165 Northern Blvd, Suite 405, Manhasset, NY 11030-3048

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