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

St Lukes - Roosevelt Hospital Center

Organization Dermatology Physician · NPI 1336206242

St Lukes - Roosevelt Hospital Center is a Dermatology Physician in New York, New York. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

780 8th Ave Ste 303
New York, NY 10036-7017
Phone: (212) 641-4500
Fax: (212) 641-4510
Show map & directions

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
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1336206242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Gray — Medical Director · (212) 308-1112
Other names Roosevelt Hospital Doctors Offices
NPI enumeratedJanuary 2, 2007
Last updated in NPPESOctober 30, 2014
Mailing addressPo Box 95000-2409, Philadelphia, PA 19195-2409

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