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

Plastic Cosmetic and Restorative Surgery PLLC

Organization Plastic Surgery Physician · NPI 1063464717

Plastic Cosmetic and Restorative Surgery PLLC provides Plastic Surgery Physician services in Rochester, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

2640 Ridgeway Ave
Rochester, NY 14626 Not confirmed with CMS for 18 years — call before visiting
Phone: (585) 225-0680
Fax: (585) 225-1324
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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 · Licence 1052901 (NY)

Record details

NPI number1063464717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Capuano — Director · (515) 225-0680
Other names Pllc
NPI enumeratedMay 17, 2006
Last updated in NPPESApril 29, 2008
Mailing address2640 Ridgeway Avenue, Rochester, NY 14626

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