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

Park Avenue East Medical Suites PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1407747793

Park Avenue East Medical Suites PLLC provides Plastic and Reconstructive Surgery Physician services in New York, New York. Registered with an NPI since 2025.

In the registry since
2025
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

521 Park Ave
New York, NY 10065-8140
Phone: (212) 779-2787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1407747793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Hanna — Owner · (212) 779-2787
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address521 Park Ave Ste C, New York, NY 10065-8195

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