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

Procedural Dermatology PC

Organization Dermatology Physician · NPI 1164299004

Procedural Dermatology PC is a Dermatology Physician in New York, New York. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
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

4925 Broadway
New York, NY 10034-3101
Phone: (718) 255-7546
Fax: (917) 975-6272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3773 103rd St, Corona, NY 11368-3465 — (718) 255-7546

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1164299004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Irene Vergilis-Kalner — President · (917) 804-4553
NPI enumeratedDecember 11, 2023
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address262 Central Park W Ste 1d, New York, NY 10024-3512

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