Organization
PROCEDURAL DERMATOLOGY PC
Active
Organization
PROCEDURAL DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE VERGILIS-KALNER MD (PRESIDENT)
(917) 804-4553
Entity
Organization
Contact information
Practice address
4925 BROADWAY, NEW YORK, NY 10034-3101
(718) 255-7546
(917) 975-6272
Mailing address
262 CENTRAL PARK W STE 1D, NEW YORK, NY 10024-3512
(718) 255-7546
(917) 975-6272
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
12/11/2023
Last updated
02/28/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up