Dermatology
1091 SOUTHERN BLVD DERMATOLOGY PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1154004133 · enumerated 2023-08-08 · record updated 2023-08-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: WENDY SANCHEZ, Office Manager · (347) 642-9802
Addresses and phones
- Practice location 1091 SOUTHERN BLVD, BRONX, NY, 10459-2417 (718) 401-7000 Fax (917) 473-7878 Google Maps Apple Maps OpenStreetMap
- Mailing address 4037 74TH ST, ELMHURST, NY, 11373-5603 (347) 642-9802 Fax (347) 642-9852 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary
In this directory
Locations and evidence
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Practice location
BRONX, NY, 104592417
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.