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

Suffolk Dermatology PC

Organization Dermatology Physician · NPI 1508234113

Suffolk Dermatology PC is a Dermatology Physician in Ronkonkoma, 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

500 Portion Rd Ste 12
Ronkonkoma, NY 11779-4587
Phone: (631) 648-0101
Fax: (631) 648-0191
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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 256750 (NY)

Record details

NPI number1508234113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Silverstein — Owner · (631) 648-0101
NPI enumeratedSeptember 14, 2015
Last updated in NPPESSeptember 22, 2015
Mailing address500 Portion Rd Ste 11, Ronkonkoma, NY 11779-4587

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