UPSTATE DERMATOLOGY PC NPI 1609826163

NPI Information

  • NPI: 1609826163
  • Provider Name: UPSTATE DERMATOLOGY, PC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Former Legal Business Name: UPPER HUDSON VALLEY DERMATOLOGY, PC
  • CLIA Number: 33D0955319
  • Address: 1547 COLUMBIA TPKE
    CASTLETON, NY
    ZIP 12033
  • Phone: (518) 479-4156

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NPI Details

UPSTATE DERMATOLOGY, PC is a dermatology in Castleton, NY. The provider is 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 and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. UPSTATE DERMATOLOGY, PC NPI is 1609826163. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Upper Hudson Valley Dermatology, Pc.

The provider's business location address is:

1547 COLUMBIA TPKE
CASTLETON, NY
ZIP 12033-543
Phone: (518) 479-4156

The provider's authorized official is Anthony Neal Gregory .
The authorized official title is President and has the following contact phone number (518) 694-5317.

The CLIA number assigned to this NPI record is 33D0955319 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 8/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatology173589NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D27004MEDICARE UPINNEW YORK
2W34181MEDICARE PINNEW YORK
3AA0422MEDICARE PIN
4070014246OTHERNEW YORKRAILROAD MEDICARE (PTAN)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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