OrganizationActive
Empire Dermatology PLLC
NPI 1336698406 · MOHS-Micrographic Surgery Physician · East Syracuse, NY
Provider details
- NPI number
- 1336698406
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patricia Madden, Practice Manager(315) 935-9247
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Practice location
5823 Widewaters Pkwy
Suite 4
East Syracuse, NY 13057-3084
Phone: (315) 500-7546
Fax: (888) 454-8316
Approximate (ZIP-level) locationGet directions
Mailing address
5823 Widewaters Pkwy
East Syracuse, NY 13057-3084
Registry dates
- Enumerated
- 2016-09-29
- Last updated
- 2023-03-16
- Certified
- 2023-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.