OrganizationActive
Lighthouse Dermatology, P.C.
NPI 1770765893 · Procedural Dermatology Physician · New York, NY
Provider details
- NPI number
- 1770765893
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Soren White, Owner/President(212) 396-3688
- License
- 206357 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
110 E 59th St
Suite 10d
New York, NY 10022-1304
Phone: (212) 583-2920
Approximate (ZIP-level) locationGet directions
Mailing address
110 E 59th St
New York, NY 10022-1304
Registry dates
- Enumerated
- 2007-11-30
- Last updated
- 2007-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.