EAST SIDE DERMATOLOGY SERVICES PC – NPI #1023063906
Dermatology
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
EAST SIDE DERMATOLOGY SERVICES PC is a dermatologist located in NEW YORK, NY. NPPES has assigned the NPI number 1023063906 to EAST SIDE DERMATOLOGY SERVICES PC on May 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery
The NPI profile was last updated on Aug 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST SIDE DERMATOLOGY SERVICES PC below.
NPI Profile for
EAST SIDE DERMATOLOGY SERVICES PC
(more than 20 years ago)
11 FLOOR
NEW YORK, NY 10016-4996 Phone: (212) 686-7306 Fax: (212) 686-7305
NEW YORK, NY 10087-4904 Phone: (212) 686-7306 Fax: (212) 686-7305
MEDICAL DIRECTOR
Phone: (212) 686-7306
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207ND0101X - Dermatology / MOHS-Micrographic Surgery (Primary) |
||
| 174400000X - Specialist |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.