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

Dr. Kathleen Rose Vine, MD

Individual provider Dermatology Physician · NPI 1659534410

Dr. Kathleen Rose Vine, MD is a Dermatology in New York, New York. Graduated from State University of New York at Buffalo School of Medicine in 2007, 19 years ago. Practices with Kathleen Vine MD PC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
19
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

928 Broadway Ste 301
New York, NY 10010-6008
Phone: (646) 421-6064
Fax: (646) 843-4701
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 262895 (NY)

Record details

NPI number1659534410
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 2, 2008
Last updated in NPPESJune 1, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Kathleen Vine Md Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in New York