MEDICARE: UPPER WEST SIDE DERMATOLOGY, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	238877	NY

General Provider Information

NPI Number	:	1427270727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPPER WEST SIDE DERMATOLOGY, P.C.

Provider Business Mailing Address
First Line	:	277 W END AVE APT 1B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-2605
Country	:	US
Telephone Number	:	212-769-0069
Fax Number	:

Provider Business Practice Location Address
First Line	:	277 W END AVE APT 1B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-2605
Country	:	US
Telephone Number	:	212-769-0069
Fax Number	:

Authorized Official
Title or Position	:	SOLE OWNER
Name	:	DR. LISA TRAVIS
Credential	:	M.D.
Telephone Number	:	212-769-0069

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	12/12/2019

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1942596465 — FALGUNI ASHWIN ASRANI M.D
Practice Location Address:

277 W END AVE APT 1B
NEW YORK, NY
10023-2605

Practice Phone: 617-372-7265
Practice Fax:

1730184573 — DR. ALAN DAVID FRANKEL DMD
Practice Location Address:

277 W END AVE , APT 1B
NEW YORK, NY
10023-2605

Practice Phone: 212-877-7177
Practice Fax: 212-873-8633

1801962402 — ALAN DAVID FRANKEL DMD PC
Practice Location Address:

277 W END AVE APT 1B
NEW YORK, NY
10023-2605

Practice Phone: 212-877-7177
Practice Fax: 212-873-8633

1861039240 — NY DERMATOLOGY ASSOCIATES PLLC
Practice Location Address:

277 W END AVE APT 1B
NEW YORK, NY
10023-2605

Practice Phone: 212-769-0069
Practice Fax:

1134071376 — CAITLIN BRADLEY PA-C
Practice Location Address:

659 10TH AVE # 4B
NEW YORK, NY
10036-2605

Practice Phone: 203-258-9146
Practice Fax:

Directions to “UPPER WEST SIDE DERMATOLOGY, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.