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

Reagen Medical, PC

Organization Dermatology Physician · NPI 1679965990

Reagen Medical, PC is a Dermatology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
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

460 Park Avenue 17th Fl
New York, NY 10022
Phone: (212) 249-3050
Fax: (212) 452-2354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 138656-1 (NY)

Record details

NPI number1679965990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Victor — Md/Ceo · (212) 249-3050
NPI enumeratedFebruary 24, 2015
Last updated in NPPESFebruary 24, 2015
Mailing address460 Park Avenue, 17th Floor, New York, NY 10022

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