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

Syracuse Dermatology, PLLC

Organization Dermatology Physician · NPI 1649159930

Syracuse Dermatology, PLLC is a Dermatology Physician in Clay, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4106 Route 31 # 904
Clay, NY 13041-8789
Phone: (315) 500-3376
Fax: (315) 600-3376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1649159930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Ash — Owner/Ao · (315) 500-3376
NPI enumeratedAugust 29, 2025
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing address4106 Route 31 # 904, Clay, NY 13041-8789

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