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 1477958007

St Lukes-Roosevelt Hospital Center is a Dermatology Physician in New York, New York. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
15

Practice location Address checks out

1111 Amsterdam Ave
New York, NY 10025
Phone: (212) 523-4000
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
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Infectious Disease Physician Taxonomy 207RI0200X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Neurology Physician Taxonomy 2084N0400X
Psychiatry Physician Taxonomy 2084P0800X
Nurse Practitioner Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Women's Health Nurse Practitioner Taxonomy 363LW0102X

Record details

NPI number1477958007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Macneill — Vice President, Cbo Director · (212) 731-6802
Other names The Institute For Advanced Medicine
NPI enumeratedOctober 24, 2014
Last updated in NPPESOctober 24, 2014
Mailing address500 7th Ave, 8th Floor, New York, NY 10018-4502

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