Organization · Type 2 NPI

East Side Dermatology Services PC

MOHS-Micrographic Surgery Physician · New York, NY

NPI number 1023063906 Active · reactivated Jul 17, 2025

Practice location

317 East 34th Street, 11 Floor
New York, NY 10016-4996

Call (212) 686-7306 Map

Fax (212) 686-7305

Mailing address

PO Box 24904
New York, NY 10087-4904

Specialties and licenses

Taxonomy	Code	License
Specialist	174400000X	None listed
MOHS-Micrographic Surgery Physician Primary	207ND0101X	None listed

MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…

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NPI record

NPI: 1023063906
Entity type: Organization (Type 2)
Issued: May 23, 2006
Last updated: Aug 5, 2025
Status: Active

Other names

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Laser & Skin Surgery Center of New York · doing business as
Laser & Skin Surgery Center of New York · doing business as

Authorized official

Roy S Seidenberg, MD
Medical Director
(212) 686-7306

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023063906

East Side Dermatology Services PC's National Provider Identifier is 1023063906, issued on May 23, 2006. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in New York, NY. The record was last updated on Aug 5, 2025.