Finger Lakes Dermatology PLLC
NPI 1508402710 · Dermatology Physician · Freeville, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Finger Lakes Dermatology PLLC is a Dermatology Physician organization in Freeville, NY (NPI 1508402710).
Provider details
- NPI number
- 1508402710
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brad Yentzer, Owner(607) 708-1330
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-11-22
- Last updated
- 2022-04-13
- Certified
- 2022-04-13
Frequently asked questions
- What is Finger Lakes Dermatology PLLC's NPI number?
- Finger Lakes Dermatology PLLC's National Provider Identifier (NPI) is 1508402710, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Finger Lakes Dermatology PLLC?
- Finger Lakes Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Finger Lakes Dermatology PLLC located?
- Finger Lakes Dermatology PLLC's practice location on file with NPPES is 2141 Dryden Rd, Freeville, NY 13068.
- What is Finger Lakes Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Finger Lakes Dermatology PLLC is (607) 708-1330.
- Does Finger Lakes Dermatology PLLC accept Medicare?
- Finger Lakes Dermatology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Finger Lakes Dermatology PLLC?
- The authorized official listed on Finger Lakes Dermatology PLLC's NPPES record is Brad Yentzer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Finger Lakes Dermatology PLLC's NPI active?
- Yes — Finger Lakes Dermatology PLLC's NPI (1508402710) is active in the NPPES registry as of the last update on 2022-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.