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PARK AVENUE DERMATOLOGY, PC
NPI 1730393042
Specialist in Staten Island, NY

Active since May 09, 2007
31 TIOGA ST, STATEN ISLAND, NY 10301(718) 981-5040 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Park Avenue Dermatology, Pc NPPES

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

PARK AVENUE DERMATOLOGY, PC (NPI 1730393042) is a healthcare organization registered as a specialist in Staten Island, New York and active in the NPI registry since May 2007. The organization lists Dominick Ligresti, Doctor, as its authorized official.

NPPES Registry Identity

NPI1730393042
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePARK AVENUE DERMATOLOGY, PC
Location Address31 TIOGA STStaten Island, NY 10301-4329
Mailing Address31 Tioga StStaten Island, NY 10301-4329
Phone(718) 981-5040
Organization SubpartNo
Authorized OfficialDominick LigrestiDoctor · (718) 981-5040
Enumeration DateMay 9, 2007
Last NPPES UpdateFebruary 2, 2017
✔ NPI 1730393042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
31 TIOGA ST, Staten Island, NY 10301
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Other Identifiers 1

Medicare ID-Type UnspecifiedWLQ241NY · Legacy Provider Number

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
Legal Medicine
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, PC's NPI number?

The NPI number for Park Avenue Dermatology, PC is 1730393042. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Park Avenue Dermatology, PC located?

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

What is Park Avenue Dermatology, PC'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 Park Avenue Dermatology, PC was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.