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

Park Avenue Dermatology, PC

Organization Specialist · NPI 1730393042

Park Avenue Dermatology, PC is a Specialist in Staten Island, New York. Registered with an NPI since 2007.

In the registry since
2007
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

31 Tioga St
Staten Island, NY 10301-4329
Phone: (718) 981-5040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1730393042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominick Ligresti — Doctor · (718) 981-5040
NPI enumeratedMay 9, 2007
Last updated in NPPESFebruary 2, 2017
Mailing address31 Tioga St, Staten Island, NY 10301-4329

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