Important update on COVID-19

Caring, Compassionate Skin Care for Seniors

We accept MEDICARE along with most major insurance plans.

Schedule your appointment today

Skin Care, Anywhere

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

Learn more

Online Bill Pay

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.

Make a Payment

Book Online Instantly

Seeing one of our providers is now more convenient than ever! With our instant online booking, your next visit is just a click away.

Request Appointment
Explore Services
Home - Vanguard

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.

Home - Vanguard

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.

Home - Vanguard

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.

Home - Vanguard

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!

Stay In-The-Know!

Check out our latest special offers and practice news.

Learn more

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

Book Now

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.

Learn more

Dermatology

Request an Appointment

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

Call Us (212) 398-1288
Book Online
About Us Forms

Areas We Serve

Our Patients Love Us

Friendly team. Thorough and efficient visit.

” 

Daniel A.

Quaint abs clean. Doctor was very knowledgeable and understanding to my concerns.

” 

Indira P.

Very understanding

” 

Evelyn J.

Staff was very professional and waiting was very short.

” 

Michala W.

Very friendly and responsive to my problem. Will be returning as a patient and will refer to other.

” 

Thomas J.

very nice place and employees!!

” 

Diana P.

New patient at Vanguard. Impressed with the triage and PA who treated me.

” 

Teresa F.

The doctor was very kind and informative. The office is clean and modern and the staff is very friendly

” 

Marta M.

Grate service.

” 

Dmitriy K.

Honest, fast, professional.

” 

Allen C.

No waiting time & very professional Best doctor

” 

Jalel J.

The wait was about 1 hour, but the doctor and service was very good.

” 

Maximilian T.

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.

I love this practice. I see Azelesha Rodriguez usually, so sweet!!!

” 

Barbara D.

Excellent care

” 

Dawn W.

Everything was great , and quickly.

” 

Emily F.

In the Media

In the Media
In the Media
In the Media
In the Media
In the Media
In the Media
In the Media
In the Media
In the Media

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...

Read On >
 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...

Read On >
 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...

Read On >
 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...

Read On >
 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...

Read On >
 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...

Read On >
 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...

Read On >
 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...

Read On >
 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...

Read On >
 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...

Read On >
 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...

Read On >
 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...

Read On >
Discover More >

Our Locations