Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Maxillofacial Surgery of Ny PC

Organization Ambulatory Surgical Clinic/Center · NPI 1275071318

Maxillofacial Surgery of Ny PC provides Ambulatory Surgical Clinic/Center services in New York, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
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

563 Park Ave
New York, NY 10065-7379
Phone: (212) 838-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence CERT# 440777 (NY)

Record details

NPI number1275071318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Chotkowski — Medical Director · (212) 838-0090
NPI enumeratedFebruary 9, 2017
Last updated in NPPESFebruary 9, 2017
Mailing address563 Park Ave, New York, NY 10065-7379

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