Provider profile · NPI 1821125956

Aesthetic Dermatology, Llc

Dermatology · Woodbury, NY · NPI 1821125956 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Dermatology

Enumerated

Feb 27, 2007

License(s)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION800 WOODBURY RD STE A Woodbury, NY 11797-2503516-496-9400
MAILING800 WOODBURY RD Woodbury, NY 11797-2503516-496-3400

View on NPPES registry ↗

Watch this provider

Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.