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

Upper West Side Dermatology, PC

Organization Dermatology Physician · NPI 1427270727

Upper West Side Dermatology, PC is a Dermatology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

277 W End Ave Apt 1B
New York, NY 10023-2605
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 number1427270727
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Travis — Sole Owner · (212) 769-0069
NPI enumeratedMay 3, 2007
Last updated in NPPESDecember 12, 2019
Certification dateDecember 12, 2019
Mailing address277 W End Ave Apt 1b, New York, NY 10023-2605

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