Dermatology
KAYLAN PUSTOVER DO
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 Plan acceptance stays unpublished until the practice reports it.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 1871901918 · enumerated 2014-07-31 · record updated 2021-02-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 4 W 58TH ST FL 13, NEW YORK, NY, 10019-2515 Google Maps Apple Maps OpenStreetMap
- Practice location 4 W 58TH ST FL 13, NEW YORK, NY, 10019-2515 (212) 431-4749 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License 293128 NY
- Dermatology 207N00000X · License 5101021933 MI
In this directory
Locations and evidence
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Practice location
NEW YORK, NY, 100192515
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.