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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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.

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

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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!

Stay In-The-Know!

Check out our latest special offers and practice news.

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$50 off Fillers in July!

Offer valid for multiples syringes ($50 off each syringe) and can be combined with company coupons or points (e.g. Alle or Aspire).

Valid in July 2021 at Sheepshead Bay, Staten Island, Inwood, Greenpoint locations only – Patients can take advantage of the promo for a July treatment or prepay in July.

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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

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 About Us Forms

Areas We Serve

Our Patients Love Us

Great dermatologist

” 

Jueremy F.

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

” 

Barbara D.

No waiting time & very professional Best doctor

” 

Jalel J.

Dr. Elysa was very professional. Waiting room can use phone chargers

” 

Safina S.

My experience with the staff and doctor was definitely 5 star, but the 1 hour wait is what dropped the rating down. I have never had less than an hour wait time which is extremely frustrating. I hope next time when appointment are made and seen at the same time.

” 

Deena D.

I went to the Inwood office 2 weeks ago and surprisingly there's no wait at all. (Maybe because I was the last patient.) The MA was nice while she did the assessment for me. I saw Shannen the PA for my hand eczema and sunburn. She's very caring and knowledgeable. She really has a heart for her patients. Thanks to her, my eczema's almost cured, although I do missed seeing her. I would say making appointments in the last hour is better.

” 

Michael K.

Very helpful and friendly staff.

” 

Cecilia R.

Staff was very kind, and very knowledgeable. I was able to get an appointment within the week that i called, and the wait at the office wasn’t bad at all.

” 

Deanna D.

Super fast service. When I actually got to see my dermatologist, he was very kind and I could tell he was truly listening and not just trying to prescribe meds. I suffer from severe eczema and my life has been a total mess and after coming out of this appointment, I finally got my spark back and have faith as I undergo my new treatment.

” 

Madeline P.

Dr was extremely patient & thorough.

” 

Sarah A.

Dr. Romana quickly and accurately diagnosed my skin condition and helped me with referrals and follow up care. He is fantastic!

” 

Jennifer U.

Great attention and good doctor

” 

Gissell M.

Dr. Shapiro was caring and very attentive. Could not have asked for a better health professional in a time of need. Thank you!

” 

Andrzej B.

Dr. K is amazing! She’s so sweet.... Thank you so much for your help!

” 

Stacey L.

Excellent service.

” 

Paul D.

PA Rodriguez was very sweet and recognized my condition immediately. Was very welcoming to my concerns and offered a lot of insight. Office staff is very pleasant. I am now a regular patient.

” 

Brittany D.

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Dermatology Blog

Woman treating oily skin Top Tips for Managing Oily Skin Year-Round

Top Tips for Managing Oily Skin Year-Round

Oily skin plagues many people, and not always for the same reasons. For some, oily skin means the “shiny” effect that makes them self conscious. For others, oily...

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Woman feeling her clear skin Top Ideas to Make Your National Skin Care Awareness Month Even Better

Top Ideas to Make Your National Skin Care Awareness Month Even Better

From acne to wrinkles, visible skin care concerns are the main reason that patients come into a dermatology office. But the truth is that anyone can benefit from...

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Man itching at fall allergies Reduce Skin Irritation from Fall Allergies

Reduce Skin Irritation from Fall Allergies

Year after year, seasonal allergies continue to get worse as more people react to higher pollen counts. From itchy, watery eyes to a scratchy throat or cough to...

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Hive on someone's side Can Hives Be a Sign of Something Serious?

Can Hives Be a Sign of Something Serious?

While not everyone will experience a hives outbreak in their lifetime, many people will have this skin condition at least once. And for some, hives are a regularly...

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Woman looking at her skin in the mirror How Stress Affects Pre-Existing Skin Conditions

How Stress Affects Pre-Existing Skin Conditions

Most of us are aware that stress -- particularly chronic stress -- can cause all kinds of issues with our physical, mental, and emotional health. From disrupted sleep...

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Pregnant woman looking at her skin in the mirror Best Skin Products for Pregnancy and Breastfeeding

Best Skin Products for Pregnancy and Breastfeeding

While increased blood volume and changing hormones during pregnancy can give some women that gorgeous glow, others find that excess oil production wreaks havoc on their skin. If...

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Woman having Botox to reduce wrinkles How to Reduce Wrinkles After They've Appeared

How to Reduce Wrinkles After They've Appeared

Wrinkles are among the most common complaints of those with aging skin. Fine lines and creases can begin to show up as early as one’s twenties, and while...

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Woman with eye cream on her face How to Find the Perfect Eye Cream

How to Find the Perfect Eye Cream

One of the most visible signs of aging -- and one that occurs as early as the mid-twenties -- is wrinkles in the eye area. With all of...

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Woman having dermal filler treatment How Not to Overdo Botox and Fillers

How Not to Overdo Botox and Fillers

So you’re looking into cosmetic treatments and injectables like Botox and dermal fillers to treat wrinkles, fine lines, and deep creases. How can you keep your investments discreet...

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Dermatologist looking at woman's mole What Areas of the Body Are Most Prone to Skin Cancer?

What Areas of the Body Are Most Prone to Skin Cancer?

While skin cancer can show up anywhere on the body, there are a few places that are more at-risk than others. Below we’ll talk through the most common...

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Man having face examined by dermatologist What Age Should I Start Regularly Seeing a Dermatologist?

What Age Should I Start Regularly Seeing a Dermatologist?

Many people wonder whether they need to see a dermatologist, and if so, what age they should start. The answer to this question is largely dependent on whether...

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Woman looking at acne in summer Why Acne Can Worsen in the Summer

Why Acne Can Worsen in the Summer

If you suffer from acne, it’s probably no secret that summer can make your symptoms worse. From excess sweat to accumulated dirt to those extra hot days, here...

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