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

Aesthetic MD of Ny

Organization Specialist · NPI 1962857987

Aesthetic MD of Ny provides Specialist services in Southampton, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

61 Main St 2nd Fl
Southampton, NY 11968-4870 Not confirmed with CMS for 10 years — call before visiting
Phone: (631) 669-2883
Fax: (631) 661-0463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 174108AN (NY)

Record details

NPI number1962857987
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronit Adler — Owner · (631) 669-2883
NPI enumeratedApril 27, 2016
Last updated in NPPESApril 27, 2016
Mailing addressPo Box 621, Babylon, NY 11702-0621

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