AESTHETIC AND SURGICAL DERMATOLOGY OF NEW YORK, P.C. (NPI# 1679702740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679702740 |
| Entity Type | Organization |
| Organization Name | AESTHETIC AND SURGICAL DERMATOLOGY OF NEW YORK, P.C. |
| Practice Address |
3111 New Hyde Park Rd New Hyde Park NY 11042-1217 |
| Practice Telephone | 5163652300 |
| Mailing Telephone | 5163652300 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-16 |
| Authorized Official Name | DR. CAROLE HAZAN (PRESIDENT) |
| Authorized Official Telephone | 5163652300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
243559 | NY | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
243559 | NY | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 243559 | NY | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | AESTHETIC AND SURGICAL DERMATOLOGY OF NEW YORK, P.C. | 3111 New Hyde Park Rd, Apt, Suite, Bldg, New Hyde Park, Ny 11042 |
| Street Address |
3111 NEW HYDE PARK RD |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200395 | Dariush Radparvar | Radiology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2006-01-21 |
| 1073918009 | Integrated Medical Professionals Pllc | Non-Pharmacy Dispensing Site | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2014-11-04 |
| 1457799777 | Tarnima Yasmin Ahamed | Obstetrics & Gynecology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2013-06-09 |
| 1336435809 | Tiffany Christine Hunter | Obstetrics & Gynecology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2011-06-23 |
| 1801128996 | Metropolitan Urological Specialist | Specialist | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2010-02-01 |
| 1841424009 | Dorene Marinese | Specialist | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2009-05-03 |
| 1114108073 | David Cooper Md PC | Specialist | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2007-11-20 |
| 1871713156 | Carole Hazan | Dermatology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2007-04-27 |
| 1093816605 | Elizabeth Femenia | Physician Assistant | 3111 New Hyde Park Rd, New Hyde Park, NY 11040 | 2006-09-26 |
| 1508961814 | Carl A Olsson | Specialist | 3111 New Hyde Park Rd, First Floor, New Hyde Park, NY 11042-1209 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407122674 | Jacqueline Yaa Owusua Minasso | Dermatology | 1991 Marcus Ave Suite 300, New Hyde Park, NY 11042-2123 | 2012-03-31 |
| 1902337298 | Anna Marie Sonstegard | Dermatology | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2017-03-27 |
| 1881058634 | Reshmi Kapoor | Dermatology | 1991 Marcus Ave Ste 300, New Hyde Park, NY 11042-2058 | 2016-04-07 |
| 1912362260 | Northwell Dermatology | Dermatology | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2015-12-30 |
| 1962897595 | Jacob Berman | Dermatology | 1991 Marcus Ave, Suite 300, New Hyde Park, NY 11042-2057 | 2015-03-31 |
| 1477999886 | Shelly Rivas | Dermatology | 1991 Marcus Ave Ste 300, New Hyde Park, NY 11042-2058 | 2013-05-13 |
| 1750693404 | Nika Finelt | Dermatology | 1991 Marcus Ave, Suite 300, New Hyde Park, NY 11042-2057 | 2010-07-10 |
| 1912105958 | Victoria Sharon | Dermatology | 1991 Marcus Ave, Suite 300, New Hyde Park, NY 11042-2057 | 2007-07-10 |
| 1134201460 | Advanced Dermatology PC | Dermatology | 6 Lowell Ave, New Hyde Park, NY 11040 | 2006-10-19 |
| 1568563567 | Mimi G Bansal X | Dermatology | 2001 Marcus Ave, Suite N218, New Hyde Park, NY 11042-1011 | 2006-09-25 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
Please comment or provide details below to improve the information on AESTHETIC AND SURGICAL DERMATOLOGY OF NEW YORK, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.