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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EAST SIDE DERMATOLOGY SERVICES PC

Deactivated Organization

EAST SIDE DERMATOLOGY SERVICES PC is a Obesity Medicine organization located in NEW YORK, New York. NPI 1023063906 is deactivated in the NPPES registry. Verify at CMS.

Obesity Medicine · NEW YORK, NY

This NPI has been deactivated. The record was deactivated on June 24, 2025. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1023063906
Provider Type
Organization
NPI Issued
May 23, 2006 (19.087671232877 yrs)
Last Updated
Aug 5, 2025
Deactivated
Jun 24, 2025

Practice Information

Address
317 EAST 34TH STREET
11 FLOOR
NEW YORK, NY, 100164996
Browse NY providers · Browse ZIP 10016
Phone
2126867306
Fax
2126867305
Primary Specialty
Obesity Medicine
207ND0101X
Additional Specialty
Obesity Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.