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

Plastic Surgery and Skincare, PLLC

Organization Medical Specialty Clinic/Center · NPI 1003354531

Plastic Surgery and Skincare, PLLC provides Medical Specialty 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?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

630 Park Ave
New York, NY 10065-6560
Phone: (212) 220-0776
Fax: (212) 214-0581
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 250439 (NY)

Record details

NPI number1003354531
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanalee Ackerman — Practice Manager · (425) 503-1706
Other names Marnie Nussbaum Dermatology
NPI enumeratedFebruary 3, 2017
Last updated in NPPESFebruary 3, 2017
Mailing address630 Park Ave, New York, NY 10065-6560

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