Individual provider · Type 1 NPI

Michael Gladstein, MD

Dermatology Physician · Lake Ronkonkoma, NY

NPI number 1104848811 Active

Practice location

640 Hawkins Ave
Lake Ronkonkoma, NY 11779-2324

Call (631) 737-0100 Map

Fax (631) 417-1117

Mailing address

2792 Ocean Ave Fl 2
Brooklyn, NY 11229-4731

Other practice locations

  • 2792 Ocean Ave Fl 2, Brooklyn, NY 11229-4731 · (833) 635-2566

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X143678 (NY)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

24 other providers at this address

About NPI 1104848811

Michael Gladstein, MD's National Provider Identifier is 1104848811, issued on Jul 24, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Lake Ronkonkoma, NY. The record was last updated on Dec 10, 2025.