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

St Lukes Roosevelt Community Care

Organization Dermatology Physician · NPI 1740469246

St Lukes Roosevelt Community Care is a Dermatology Physician in New York, New York. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
10
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Practice location Address checks out

1000 10th Ave
New York, NY 10019-1147
Phone: (212) 523-7878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Dermatology Physician Taxonomy 207N00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Ophthalmology Physician Taxonomy 207W00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Podiatrist Taxonomy 213E00000X
Nurse Practitioner Taxonomy 363L00000X
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1740469246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malcolm Reid — Group Director · (212) 523-7878
NPI enumeratedOctober 31, 2007
Last updated in NPPESOctober 31, 2007
Mailing address407 Airport Executive Park, Nanuet, NY 10954-5288

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