OrganizationActive
Community Medical &dermatology Center
NPI 1265422679 · Community Health Clinic/Center · New York, NY
Provider details
- NPI number
- 1265422679
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lawrence Jaeger, President(212) 262-2500
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
200 Central Park S
Suite 107
New York, NY 10019-1436
Phone: (212) 262-2500
Fax: (212) 246-0890
Approximate (ZIP-level) locationGet directions
Mailing address
291 E 149th St
Bronx, NY 10451-5601
Registry dates
- Enumerated
- 2005-10-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.