Upstate Dermatology Services PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

UPSTATE DERMATOLOGY SERVICES PLLC

Practice address

365 Broadway
Kingston, NY 12401-5151

Phone

(646) 970-3603

NPI assigned

Sep 11, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brooke Bair, D.O.

Title

President

Phone

(917) 684-2484

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1427968239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015151",
            "telephone_number": "646-970-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE DERMATOLOGY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "BAIR",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-684-2484",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ulster-Greene Arc Chaper of Nysarc Inc.
• Ulster-Greene Arc Inc.
• Ulster-Greene Counties Chapter Nysarc Inc
• Frank Umbrino Jr.
• Venkata Naga Mahati Upadyayula, MBBS
• Pamela Alejandra Urquia
• Uslter-Greene Arc Inc.
• Daniel J Uttendorfer, R.N.
• Nancy Uttendorfer, M.S., CCC-SLP
• Gianna Vacca

• Dermatology Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.