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GLAMDERM
NPI 1720485808
Specialist in New York, NY

Active since December 04, 2014
130 E 18TH ST, SUITE 1U, NEW YORK, NY 10003(917) 912-3615 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glamderm NPPES

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

GLAMDERM (NPI 1720485808) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since December 2014. The organization lists Lian A Mack, Owner, as its authorized official.

NPPES Registry Identity

NPI1720485808
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMACK DERMATOLOGY, P.C.
Location Address130 E 18TH ST, SUITE 1UNew York, NY 10003-2416
Mailing Address130 E 18th St, Suite 1uNew York, NY 10003-2416
Phone(917) 912-3615
Organization SubpartNo
Authorized OfficialLian A MackOwner · (917) 912-3615
Enumeration DateDecember 4, 2014
✔ NPI 1720485808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 245368
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
130 E 18TH ST, New York, NY 10003
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Other Names 1

Doing Business AsGlamderm

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 9

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

DR. ZAFAR KHAN M.D.
Urology
130 E 18TH ST, 1BC
NEW YORK, NY 10003
New York County (212) 420-1566
MS. CHRISTINA LEIGH JOHNSTONE MSN, RN, FNP
Nurse Practitioner (Adult Health)
130 E 18TH ST, SUITE 1T
NEW YORK, NY 10003
New York County (212) 473-7798
DANIEL LIONEL CRANE M.D.
Psychiatry & Neurology (Psychiatry)
130 E 18TH ST, SUITE 1T
NEW YORK, NY 10003
New York County (212) 473-7798
INTEGRATED AESTHETIC DENTISTRY, PLLC
Dentist
130 E 18TH ST, 1M
NEW YORK, NY 10003
New York County (212) 254-5454
MS. SUSAN MCQUILLAN M.S., R.D.
Dietitian, Registered
130 E 18TH ST
NEW YORK, NY 10003
New York County (347) 784-5070
E. LISA REID DMD, PLLC
Clinic/Center (Dental)
130 E 18TH ST, SUITE 1M
NEW YORK, NY 10003
New York County (347) 675-6606
CYNTHIA ANNE FINEFROCK PA-C
Physician Assistant (Medical)
130 E 18TH ST
NEW YORK, NY 10003
New York County (480) 577-6619
DR. ALBERT YEE DMD
Dentist
130 E 18TH ST
NEW YORK, NY 10003
New York County (212) 254-5454

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 Mack Dermatology, P.C.'s NPI number?

The NPI number for Mack Dermatology, P.C. is 1720485808. It was assigned to this organization in the NPPES registry on December 4, 2014. The provider is doing business as Glamderm.

Where is Mack Dermatology, P.C. located?

Mack Dermatology, P.C. is located at 130 E 18th St Suite 1U, New York, NY 10003. The listed phone number is (917) 912-3615.

What is Mack Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mack Dermatology, P.C. was last updated on December 4, 2014. 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.