Healthcare Provider Details

I. General information

NPI: 1891688859
Provider Name (Legal Business Name): L'AVENUE DERMATOLOGY & AESTHETIC SURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 EAST 60TH ST SUITE 1902
NEW YORK NY
10022-1016
US

IV. Provider business mailing address

30 E 60TH ST RM 1902
NEW YORK NY
10022-1016
US

V. Phone/Fax

Practice location:
  • Phone: 646-543-9244
  • Fax:
Mailing address:
  • Phone: 347-528-2802
  • Fax: 917-893-7724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CULA SVIDZINSKI
Title or Position: FOUNDER
Credential: MD
Phone: 646-543-9244