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

Aesthetic Plastic Surgery PC

Organization Plastic and Reconstructive Surgery Physician · NPI 1114191905

Aesthetic Plastic Surgery PC is a Plastic and Reconstructive Surgery Physician in Great Neck, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
2
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

833 Northern Blvd Ste 160
Great Neck, NY 11021-5395
Phone: (516) 498-8400
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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 · Licence 176128 (NY)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 187948 (NY)

Record details

NPI number1114191905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Feingold — President · (516) 498-8400
NPI enumeratedApril 14, 2008
Last updated in NPPESApril 14, 2008
Mailing address833 Northern Boulevard, Suite 160, Great Neck, NY 11021-5395

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