Important update on COVID-19

Caring, Compassionate Skin Care for Seniors

We accept MEDICARE along with most major insurance plans.

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Skin Care, Anywhere

Social Distancing at home? Continue your care with a telemedicine visit! Now available to new and existing patients.

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Need to pay an invoice for your visit? Use our easy, secure payment process to pay with a credit card or an ACH transaction from your checking or savings account.

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Medical

Your skin, hair and nails are the messenger for what is happening with your overall health. Paying special attention to changes is essential. At Vanguard, our broad range of medical dermatology services provide treatments for rashes, spider veins, hair loss (alopecia) and more.

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Surgical

The majority of dermatologic surgeries are now minimally invasive and require only local or regional anesthesia. What this means for you is minimal downtime, so you can get back to doing the things in life that you love the most.

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Cosmetic

At Vanguard, we have numerous cosmetic treatments for both the face and body to help you look your best. Let our experts give you a boost of self-confidence and an improved sense of well-being.

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Conditions

It is our goal at Vanguard to help all our patients achieve optimum skin health. Our dermatologists are some of the best in the country and are experts at treating common skin conditions. Why tolerate tomorrow, what can be better today!

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Check out our latest special offers and practice news.

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Tired of Your Zoom Face?

Our Staten Island location is ready to help with a full-suite of medical and cosmetic services designed to make you look and feel your very best.

BOTOX® • Chemical Peels • Dermal Fillers • Facials • Hair Removal • Wrinkle Reduction... and more!

Immediate appointments are available with: Elysha Grauman, PA-C • Barbara Casuso, FNP-BC • Michael Shapiro, MD, FAAD, ASDS, ACMS

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Why We’re the Dermatologist of Choice

Vanguard is proud to be your trusted dermatology practice. We specialize in general, surgical, and cosmetic dermatology. Our goal is to provide quality care and service that optimizes outcomes and patient satisfaction.

We offer the most effective treatment methods and technologies available in our specialty, as well as a variety of services to enhance the appearance and improve self-image and a sense of well being.

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Dermatology

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To request an appointment, please call one of our locations or click the "Book Online" button through ZocDoc.

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(718) 332-3454

Areas We Serve

Our Patients Love Us

Dr. Shapiro is professional in every way. He really knows his craft. I felt total confidence in his ability to deal with my medical issues. I'm going to become a regular patient of his. Also, the receptionist was very helpful and understood my needs.

” 

Reubin G.

Staff was very professional and waiting was very short.

” 

Michala W.

Caring , professional and understanding of my concerns. Top notch

” 

Marc L.

Very helpful and friendly staff.

” 

Cecilia R.

Good job

” 

Roman S.

Best doctor

” 

Natia A.

The people are very kind

” 

Jessica F.

Josh is always great.

” 

Jose V.

I saw Dr. Shapiro without to much of a delay, and he took care of all of my questions, and gave me thorough exam.

” 

Richard H.

I was very comfortable they took me right in my appointment my appointment was for 9 O’clock I waited five minutes and I was in it was a very good experience

” 

Charles S.

The doctor very friendly and makes you feel comfortable

” 

Marlene S.

I had a very pleasant experience. Although I arrived 30 minutes late, they made accommodations for me which I very much appreciated. The reception desk was very professional and helped me register as a new patient. The establishment was IMMACULATE! Additionally the medical assistant was personable and professional. My doctor cared about my comfort and handled my skin accordingly. I also appreciated being informed and educated about my condition and treatment plan. Some doctors have a tendency to talk down to you as though you are too dumb to learn about your ailment. All in all, I definitely recommend this practice!

” 

Jessica C.

Friendly staff. Clean facility. Great doctors

” 

Janetta Y.

Quick

” 

Arismendy B.

Excellent service.

” 

Paul D.

Easy to use.

” 

Maximilian T.

In the Media

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Our Providers

Dermatology Blog

 Top Questions to Ask Your Dermatologist About Eczema

Top Questions to Ask Your Dermatologist About Eczema

Did you know that one in ten people will develop eczema during their lifetime? Eczema doesn't only affect a person with a certain ethnicity, all skin colors, all...

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 Botox: Does It Have Any Health Benefits?

Botox: Does It Have Any Health Benefits?

While we've previously discussed why Botox is the leading procedure for reducing crow's feet and frown lines, many of our patients wonder what other benefits and uses Botox...

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 How To Exfoliate Your Skin and How a Dermatologist Helps

How To Exfoliate Your Skin and How a Dermatologist Helps

When you exfoliate, you're removing a layer of dead skin from your epidermis, the outermost layer of skin. While your skin exfoliates naturally by shedding .03 to .0...

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 Chemical Peel Treatment: Risks and Rewards

Chemical Peel Treatment: Risks and Rewards

The skincare industry has boomed over the last few years and the rise in chemical peels is no different. In fact, face peel product purchases rose 150% from...

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 Can Acne Be Cleared by Diet and Lifestyle Modifications?

Can Acne Be Cleared by Diet and Lifestyle Modifications?

Did you know that every year 50 million Americans suffer from acne? Acne can be a source of low self-esteem and frustration for many people because pimples can...

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 Facials: Should I Steam My Face Before or After Cleansing?

Facials: Should I Steam My Face Before or After Cleansing?

If you’ve ever received a facial from a dermatologist, esthetician, or other skin care provider, you may vividly remember the part where they steamed your skin. That’s right...

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 Is It Harmful to Have Botox After the Age of 65?

Is It Harmful to Have Botox After the Age of 65?

Botox has become a household name, and for good reason. What was once a high-end cosmetic treatment option only for the rich and famous has become more affordable...

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 What to Expect Before and After Coolsculpting

What to Expect Before and After Coolsculpting

If you’ve been on a weight loss journey for a while, you probably know how challenging and frustrating it can be when those pounds just won’t seem to...

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 Acne Has Ruined My Life. What Should I Do?

Acne Has Ruined My Life. What Should I Do?

Almost everyone struggles with acne at some point, whether it be bouts of breakouts in adolescence or later in life. But for many, acne is more than just...

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 Is There Really a Long-Term Cure for Eczema?

Is There Really a Long-Term Cure for Eczema?

Eczema can be a very frustrating condition to deal with, especially if it’s recurring or has been happening on a long-term basis. For the many who struggle with...

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 What Are the Differences Between Botox and Dysport?

What Are the Differences Between Botox and Dysport?

Deep creases. Fine lines. Crow’s feet, marionette lines, and glabellar lines. When it comes to wrinkle reduction, you might be pondering which injectable to get. Dysport and Botox...

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 Which Is Better: Botox or Dermal Fillers?

Which Is Better: Botox or Dermal Fillers?

In most cases, once you reach your mid-30s, you’ve begun to see plenty of signs of aging. In fact, one of the most common reasons people visit a...

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