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

Modern Dermatology PLLC

Organization Specialist · NPI 1184068017

Modern Dermatology PLLC provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

37 E 30th St
New York, NY 10016-7313
Phone: (212) 379-6477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 236599 (NY)

Record details

NPI number1184068017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathryn Frew — Owner · (212) 379-6477
NPI enumeratedApril 22, 2013
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023
Mailing address35 E 30th St Apt 1a, New York, NY 10016-7308

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