Healthcare Provider Details

I. General information

NPI: 1093899791
Provider Name (Legal Business Name): THE NEW YORK AESTHETIC CONSULTANTS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 EAST 66TH STREET
NEW YORK NY
10021
US

IV. Provider business mailing address

260 EAST 66TH STREET
NEW YORK NY
10021
US

V. Phone/Fax

Practice location:
  • Phone: 212-593-1818
  • Fax: 212-832-3990
Mailing address:
  • Phone: 212-593-1818
  • Fax: 212-832-3990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number StateNY

VIII. Authorized Official

Name: RONALD M SHELTON
Title or Position: DIRECTOR
Credential:
Phone: 212-593-1818