Organization · Type 2 NPI

Clark Dermatology, LLC

Dermatology Physician · Staten Island, NY

NPI number 1417316274 Active

Practice location

1324 Victory Blvd
Staten Island, NY 10301-3917

Mailing address

469 Morris Ave Ste 3
Elizabeth, NJ 07208-2904

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed
MOHS-Micrographic Surgery Physician 207ND0101XNone listed
Dermatopathology Physician 207ND0900XNone listed

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…

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About NPI 1417316274

Clark Dermatology, LLC's National Provider Identifier is 1417316274, issued on Feb 22, 2016. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Staten Island, NY. The record was last updated on May 5, 2025.