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NPI Code Detail

MEDICARE: NORTH ATLANTIC DERMATOLOGY PLLC

MEDICARE: NORTH ATLANTIC DERMATOLOGY PLLC
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
1207N00000XDermatology Physician

General Provider Information

NPI Number : 1811845522
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH ATLANTIC DERMATOLOGY PLLC
Provider Business Mailing Address
First Line : 3516 FRANCIS LEWIS BLVD
Second Line :
City : FLUSHING
State : NY
Zip : 11358-1954
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3516 FRANCIS LEWIS BLVD
Second Line :
City : FLUSHING
State : NY
Zip : 11358-1954
Country : US
Telephone Number : 718-400-3376
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : CAREY KIM
Credential :
Telephone Number : 646-580-1210
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “NORTH ATLANTIC DERMATOLOGY PLLC ” Practice Location

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