New York · Strict

Do You Need a Medical Director for a Med Spa in New York?

Whether New York requires a medical director — and what that director is actually on the hook for — shapes your staffing, your liability, and your startup budget. Here's the New York picture.

By Evan at Inside MedSpa

Medical director requirement

Required; physician must supervise all injectable procedures.

Corporate Practice of Medicine

Strict; physician ownership or MSO structure required. This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.

Who can supervise or delegate

NP/PA may inject under physician collaboration; independent practice not permitted for injectables.

How the exam ties in

Required; in-person exam mandatory before treatment.

What to verify in New York

Verify physician supervision requirements and ensure compliance with New York State Department of Health regulations before launching.

Primary source: New York State Department of Health; State Board of Medicine; Board of Nursing.

General business information for New York medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the New York board (and your own counsel) before you act.

See the full New York regulation profile →

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