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

Park Ambulatory Surgery PC

Organization Plastic Surgery Physician · NPI 1023227329

Park Ambulatory Surgery PC provides Plastic Surgery Physician services in New York, New York. Registered with an NPI since 2007.

In the registry since
2007
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

740 Park Ave
New York, NY 10021-4251
Phone: (718) 672-2824
Fax: (718) 672-4251
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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 number1023227329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stafford Broumand — President · (718) 672-2824
NPI enumeratedMay 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address740 Park Ave, New York, NY 10021-4251

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