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

Sunrise Blvd Medical PC

Organization Plastic Surgery Physician · NPI 1013263532

Sunrise Blvd Medical PC provides Plastic Surgery Physician services in New York, New York. Registered with an NPI since 2012.

In the registry since
2012
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

601 W 177th St
New York, NY 10033-7152 Not confirmed with CMS for 14 years — call before visiting
Phone: (718) 963-0276
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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 number1013263532
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard McShane — M.D · (718) 963-0276
NPI enumeratedAugust 2, 2012
Last updated in NPPESSeptember 10, 2012
Mailing address601 W 177th St, New York, NY 10033-7152

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