Healthcare Provider Details

I. General information

NPI: 1962327882
Provider Name (Legal Business Name): ROSE DERMATOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 GRAMERCY PARK N APT 1A
NEW YORK NY
10010-5429
US

IV. Provider business mailing address

60 GRAMERCY PARK N APT 1A
NEW YORK NY
10010-5429
US

V. Phone/Fax

Practice location:
  • Phone: 833-404-3376
  • Fax:
Mailing address:
  • Phone: 833-404-3376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LILLY-ROSE PARASKEVAS
Title or Position: MD/CEO/OWNER
Credential: MD
Phone: 833-404-3376