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

North East Dermatology PLLC

Organization Dermatology Physician · NPI 1164239026

North East Dermatology PLLC is a Dermatology Physician in Flushing, New York. Registered with an NPI since 2024.

In the registry since
2024
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

3516 Francis Lewis Blvd
Flushing, NY 11358-1954
Phone: (646) 580-1210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1164239026
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carey Kim — Director · (646) 580-1210
NPI enumeratedDecember 14, 2024
Last updated in NPPESDecember 14, 2024
Certification dateDecember 14, 2024
Mailing address418 Broadway Ste R, Albany, NY 12207-2922

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