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

Metro Dermatology of Ny, PC

Organization Dermatology Physician · NPI 1336343268

Metro Dermatology of Ny, PC is a Dermatology Physician in Flushing, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
9
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

14472 Northern Blvd Ste 203
Flushing, NY 11354-4231
Phone: (718) 886-9000
Fax: (718) 961-0666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 220 E 161st St, Bronx, NY 10451-3543 — (718) 886-9000
  • 4012 80th St, Elmhurst, NY 11373-1234 — (718) 886-9000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 017273 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 270019 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 191741 (NY)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 186672 (NY)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 258414 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 012705 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 012529 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 015855 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 017384 (NY)

Record details

NPI number1336343268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hyun Soo Lee — Owner · (718) 886-9000
NPI enumeratedJune 13, 2007
Last updated in NPPESAugust 21, 2020
Certification dateAugust 21, 2020
Mailing address4012 80th St, Elmhurst, NY 11373-1234

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