Organization
ADVANCED DERMATOLOGY OF NEW YORK PC
Active
Organization
ADVANCED DERMATOLOGY OF NEW YORK PC
Active
Other names
advanced dermatology associates
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE D JAEGER D.O. (OFFICER)
(212) 262-2500
Entity
Organization
Contact information
Practice address
291 E 149TH ST, BRONX, NY 10451-5601
(718) 742-1000
(212) 765-3210
Mailing address
200 CENTRAL PARK S, SUITE 107, NEW YORK, NY 10019-1436
(212) 262-2500
(212) 765-3210
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508048240
NPI
—
Enumeration date
12/05/2007
Last updated
12/10/2014
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