Advanced Dermatology PC
Organization Active NPI Dermatology Physician · New York, NY
NPI 1497921795 · NPPES record last updated May 6, 2008
Key facts
- NPI
- 1497921795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- Legal business name
- ADVANCED DERMATOLOGY PC
- Practice address
- 130 W 86TH St
New York, NY 10024-4040 - Phone
- (212) 787-2929
- Fax
- (212) 787-3077
- NPI assigned
- May 6, 2008
- Organization subpart
- No
Authorized official
- Name
- Lewis Lippner
- Title
- Administrator
- Phone
- (516) 326-4160
Corporate family (same tax ID) 4
Practitioners 1
-
Joshua L Fox, MD
National Provider Directory
- Tax ID family
- Advanced Dermatologypc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | Yes | ||
| MOHS-Micrographic Surgery Physician |
207ND0101X | |||
| Dermatopathology Physician |
207ND0900X | |||
| Plastic Surgery Physician |
208200000X |
Addresses
Primary practice location
130 W 86TH St
New York, NY 10024-4040
Mailing address
6 Lowell Ave
New Hyde Park, NY 11040-2810
Phone (516) 326-4160
Other providers in New York, NY
- Advanced Dental Aesthetics Ny
- Advanced Dental Arts PC
- Advanced Dermatology of New York PC
- Advanced Dermatology of New York PC
- Advanced Dermatology of New York PC
- Advanced Eye Physician PLLC
- Advanced Fertility Services PC
- Advanced Gastroenterology Practice PLLC
- Advanced Hearing Manhattan LTD
- Advanced Heart Physicians&Surgeons Network PC
All providers in New York, NY · Dermatology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.