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

Aesthetics & Plastic Surgery of Park Ave PLLC

Organization Ambulatory Surgical Clinic/Center · NPI 1417155565

Aesthetics & Plastic Surgery of Park Ave PLLC is an Ambulatory Surgical Clinic/Center in New York, New York. Registered with an NPI since 2007.

In the registry since
2007
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

655 Park Ave Ste Netc
New York, NY 10065-5937
Phone: (212) 794-3900
Fax: (212) 794-0760
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1417155565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Wells — Director · (212) 794-3900
Other names Park Avenue Plastic Surgery Center
NPI enumeratedJuly 10, 2007
Last updated in NPPESJuly 10, 2007
Mailing address200 La Bonne Vie Dr, C/O Darcy Management Office, East Patchogue, NY 11772-4434

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