Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manhattan Plastic Surgery Nyc, PLLC

Organization Plastic Surgery Physician · NPI 1386485514

Manhattan Plastic Surgery Nyc, PLLC provides Plastic Surgery Physician services in New York, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

568 Park Ave
New York, NY 10065-7370
Phone: (352) 325-5555
Fax: (346) 202-0106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1386485514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Caudill — Practice Manager · (352) 325-5555
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateMay 29, 2024
Mailing address568 Park Avenue, New York, NY 10065-7370

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