Individual provider · Type 1 NPI

Beau Dicicco, MD

Dermatology Physician · New York, NY

NPI number 1255786000 Active

Practice location

1425 2nd Ave
New York, NY 10021-3304

Mailing address

1027 46th Ave Fl 3
Long Island City, NY 11101-5245

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X304250 (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…

2 other providers at this address

Other dermatology physician providers in New York

See all in New York →

About NPI 1255786000

Beau Dicicco, MD's National Provider Identifier is 1255786000, issued on Apr 29, 2016. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in New York, NY. The record was last updated on Sep 20, 2026.