Ithaca Dermatology Pllc
Ithaca Dermatology Pllc is a healthcare organization registered as Dermatology Physician in Ithaca, NY, holding Type 2 (organization) NPI 1790979417 since 2007. The authorized official on file is Kimberly Silvers, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790979417 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ithaca Dermatology Pllc |
| Practice address | 821 CLIFF STREET, Ithaca, NY, 14850 |
| Phone | 6072567546 |
| Fax | 6072560049 |
| Enumeration date | 2007-09-06 |
| Last updated in NPPES | 2010-01-27 |
Authorized official
| Name | Kimberly Silvers |
|---|---|
| Title | Owner |
| Phone | 6072567546 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | 220803 | NY |
Copy-ready billing details
Provider: Ithaca Dermatology Pllc NPI: 1790979417 Taxonomy: 207N00000X (Dermatology Physician) Address: 821 CLIFF STREET, Ithaca, NY, 14850
Verify this record
Cross-check NPI 1790979417 against the authoritative CMS record: view Ithaca Dermatology Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Ithaca Dermatology Pllc?
What is the NPI number for Ithaca Dermatology Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2010-01-27.