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

Park 62 Oral Facial Surgery PC

Organization Ambulatory Surgical Clinic/Center · NPI 1518493717

Park 62 Oral Facial Surgery 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 440777 (NY)

Record details

NPI number1518493717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Chotkowski — Medical Director · (212) 838-0090
NPI enumeratedMay 8, 2017
Last updated in NPPESMay 8, 2017
Mailing address563 Park Ave., New York, NY 10065

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