Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Aesthetic and Surgical Dermatology of New York, PC

Organization Dermatology Physician · NPI 1679702740

Aesthetic and Surgical Dermatology of New York, PC provides Dermatology Physician services in New Hyde Park, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3111 New Hyde Park Rd
New Hyde Park, NY 11042-1217 Not confirmed with CMS for 17 years — call before visiting
Phone: (516) 365-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 243559 (NY)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 243559 (NY)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 243559 (NY)

Record details

NPI number1679702740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carole Hazan — President · (516) 365-2300
NPI enumeratedJuly 9, 2009
Last updated in NPPESJuly 16, 2009
Mailing address3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217

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