Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Soho Skin and Laser Dermatology PC

Organization Dermatology Physician · NPI 1093782492

Soho Skin and Laser Dermatology PC is a Dermatology Physician in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2006
Specialties on file
2
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

197 Grand St Ste 3E
New York, NY 10013-3859
Phone: (212) 431-7600
Fax: (212) 431-7521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 62 Crosby St, New York, NY 10012-4410 — (212) 431-1600

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X · Licence NY165531 (NY)

Record details

NPI number1093782492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simon Samaha — Ceo · (973) 571-2121
Other names Soho Skin & Laser Dermatology, Pc
NPI enumeratedMarch 3, 2006
Last updated in NPPESJuly 21, 2022
Mailing address347 Mount Pleasant Ave Ste 205, West Orange, NJ 07052-2749

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