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

Aesthetic MD of Ny

Organization Specialist · NPI 1962857987

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

Licensed in
NY
In the registry since
2016
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Practice location Address checks out

61 Main St 2nd Fl
Southampton, NY 11968-4870
Phone: (631) 669-2883
Fax: (631) 661-0463
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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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