Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aesthetic and Surgical Dermatology of New York, PC

Organization Dermatology Physician · NPI 1679702740

Aesthetic and Surgical Dermatology of New York, PC is a Dermatology Physician 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
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

Other providers in New Hyde Park