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

Manhattan Reconstructive Surgery PC

Organization Specialist · NPI 1184079600

Manhattan Reconstructive Surgery PC provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

850 Park Ave
New York, NY 10075-1845 Not confirmed with CMS for 10 years — call before visiting
Phone: (212) 988-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence CERT# 1589 (NY)

Record details

NPI number1184079600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darrick Antell — Medical Director · (212) 988-4040
NPI enumeratedMay 3, 2016
Last updated in NPPESMay 3, 2016
Mailing address850 Park Ave, New York, NY 10075-1845

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