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

Upper West Side Dermatology Inc

Organization Dermatology Physician · NPI 1356504054

Upper West Side Dermatology Inc is a Dermatology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

211 Central Park W Ste 1F
New York, NY 10024-6020
Phone: (212) 769-0069
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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 238877 (NY)

Record details

NPI number1356504054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Travis — Owner · (212) 769-0069
NPI enumeratedJuly 3, 2008
Last updated in NPPESApril 27, 2010
Mailing address211 Central Park W, Suite 1f, New York, NY 10024-6020

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