AESTHETIC AND SURGICAL DERMATOLOGY OF NEW YORK, P.C.
NPI 1679702740
Dermatology in New Hyde Park, NY

Q: What is Aesthetic And Surgical Dermatology Of New York, P.C.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since July 09, 2009CLIA 33D0908151 · Certificate of Compliance

3111 NEW HYDE PARK RD, NEW HYDE PARK, NY 11042(516) 365-2300 Get Directions Write a Review

NPPES record last updated: July 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Aesthetic And Surgical Dermatology Of New York, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AESTHETIC AND SURGICAL DERMATOLOGY OF NEW YORK, P.C. (NPI 1679702740) is a healthcare organization registered as a dermatology in New Hyde Park, New York and active in the NPI registry since July 2009. The organization holds a CLIA Certificate of Compliance certificate valid through January 16, 2028 and lists Carole Hazan, President, as its authorized official.

NPPES Registry Identity

NPI1679702740

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameAESTHETIC AND SURGICAL DERMATOLOGY OF NEW YORK, P.C.

Location Address3111 NEW HYDE PARK RDNew Hyde Park, NY 11042-1217

Mailing Address3111 New Hyde Park RdNew Hyde Park, NY 11042-1217 · (516) 365-2300

Phone(516) 365-2300

Organization SubpartNo

Authorized OfficialCarole HazanPresident · (516) 365-2300

Enumeration DateJuly 9, 2009

Last NPPES UpdateJuly 16, 2009

✔ NPI 1679702740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NY · 243559

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 243559 (NY)

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 243559 (NY)

3111 NEW HYDE PARK RD, New Hyde Park, NY 11042

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0908151

Aesthetic & Surgical Dermatology Of New York, PC · New Hyde Park, NY

Active · expires Jan 16, 2028

CLIA Number33D0908151

Laboratory TypePhysician Office

Certificate Effective DateJanuary 17, 2026

Certificate Expiration DateJanuary 16, 2028

Laboratory DirectorDr. Carole Hazan

Laboratory Phone(516) 365-2300

Laboratory LocationAesthetic & Surgical Dermatology Of New York, PC3111 New Hyde Park Road, New Hyde Park, NY 11042

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISHESH AGRAWAL M.D.

Radiology (Radiation Oncology)