PARK AVENUE DERMATOLOGY
NPI 1447642103
Legal Medicine in Staten Island, NY

Q: What is Park Avenue Dermatology's NPI number?

The NPI number for Park Avenue Dermatology is 1447642103. It was assigned to this organization in the NPPES registry on March 4, 2015.

Q: What is Park Avenue Dermatology's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Active since March 04, 2015

31 TIOGA ST, STATEN ISLAND, NY 10301(718) 981-5040 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Park Avenue Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK AVENUE DERMATOLOGY (NPI 1447642103) is a healthcare organization registered as a legal medicine in Staten Island, New York and active in the NPI registry since March 2015. The organization lists Amanda Dick, Ofice Manager, as its authorized official.

NPPES Registry Identity

NPI1447642103

Entity TypeOrganization

Primary Taxonomy173000000X

Legal Business NamePARK AVENUE DERMATOLOGY

Location Address31 TIOGA STStaten Island, NY 10301

Mailing Address31 Tioga StStaten Island, NY 10301 · (718) 981-5040

Phone(718) 981-5040

Organization SubpartNo

Authorized OfficialAmanda DickOfice Manager · (718) 981-5040

Enumeration DateMarch 4, 2015

✔ NPI 1447642103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers

Taxonomy Code173000000X

License✔ Licensed in NY · 018032

Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

31 TIOGA ST, Staten Island, NY 10301

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARK AVENUE DERMATOLOGY, PC

Specialist

31 TIOGA ST
STATEN ISLAND, NY 10301

Richmond County (718) 981-5040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Avenue Dermatology's NPI number?

The NPI number for Park Avenue Dermatology is 1447642103. It was assigned to this organization in the NPPES registry on March 4, 2015.

Where is Park Avenue Dermatology located?

Park Avenue Dermatology is located at 31 Tioga St, Staten Island, NY 10301. The listed phone number is (718) 981-5040.

What is Park Avenue Dermatology's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for Park Avenue Dermatology was last updated on March 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.