Who can inject
MD/DO, NP/PA under physician supervision, RN under physician delegation.
Registered nurses (RNs)
Yes, under direct physician delegation and supervision.
Nurse practitioners & physician assistants
NP/PA may inject under physician collaboration; independent practice not permitted for injectables.
The exam that makes it legal
Required; in-person exam mandatory before treatment initiation. A valid order or good-faith exam by an authorized provider is what makes an injection lawful — not simply who holds the syringe.
Training expected
No state-mandated injector training beyond licensure; however, facility protocols often require manufacturer training.
What to verify in New York
Ensure a licensed MD/DO is designated medical director with clear on-site or on-call availability and documented supervision protocols.
Primary source: New York State Department of Health / Medical Board
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.