Healthcare Provider Details

I. General information

NPI: 1003771890
Provider Name (Legal Business Name): LARCHMONT DERMATOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2365 BOSTON POST RD STE 201
LARCHMONT NY
10538-3559
US

IV. Provider business mailing address

2365 BOSTON POST RD STE 201
LARCHMONT NY
10538-3559
US

V. Phone/Fax

Practice location:
  • Phone: 914-833-3030
  • Fax: 914-833-3034
Mailing address:
  • Phone: 914-833-3030
  • Fax: 914-833-3034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA YALOWITZ
Title or Position: OWNER
Credential: MD
Phone: 914-833-3030