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NPI 1275221053 · live from the CMS NPI Registry

Auburn Dermatology PLLC

Dermatology in Auburn, NY. National Provider Identifier 1275221053, active.

NPI record

NPI1275221053 Type 2 · organization
StatusActive
Primary specialtyDermatology 207N00000X
Practice location144 Standart Ave, Auburn, NY 13021
Practice phone315-255-1100
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431
EnumeratedApril 28, 2023
Last updatedJuly 1, 2026
Authorized officialAnimesh Sinha, Officer

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology, MOHS-Micrographic Surgery207ND0101X—
Dermatology primary207N00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.