Island Cosmetic and Reconstructive Surgery PLLC
Island Cosmetic and Reconstructive Surgery PLLC is a Plastic Surgery Physician in Mineola, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
190 E Jericho TpkeMineola, NY 11501-2033
Phone: (516) 977-9922
Fax: (516) 977-9926
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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 124739 (NY) |
|---|
Record details
| NPI number | 1013038702 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shannon Boyd — Office Manager · (516) 534-2121 |
| Other names | Island Plastic Surgery; Island Plastic Surgery Aesthetic & Wellness |
| NPI enumerated | April 2, 2007 |
| Last updated in NPPES | February 2, 2026 |
| Certification date | February 2, 2026 |
| Mailing address | 190 E Jericho Tpke, Mineola, NY 11501-2033 |
Other providers in Mineola
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Pamela M Gallagher, MD
190 E Jericho Tpke, Mineola, NY 11501-2033 · (516) 977-9922