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

Mr. Ian Pravda, MD

Individual provider Dermatology Physician · NPI 1629142047

Mr. Ian Pravda, MD is a Dermatology in Manhasset, New York. Qualified in 1970, 56 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
56
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

444 Community Dr
Manhasset, NY 11030
Phone: (516) 627-5540
Fax: (516) 627-1572
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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 111507 (NY)

Record details

NPI number1629142047
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 17, 2006
Last updated in NPPESJuly 8, 2007
Mailing address444 Community Drive, Manhasset, NY 11030

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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