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

Manhattan Plastic Surgery Nyc, PLLC

Organization Plastic Surgery Physician · NPI 1386485514

Manhattan Plastic Surgery Nyc, PLLC is a Plastic Surgery Physician in New York, New York. Registered with an NPI since 2024.

In the registry since
2024
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

568 Park Ave
New York, NY 10065-7370
Phone: (352) 325-5555
Fax: (346) 202-0106
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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 number1386485514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Caudill — Practice Manager · (352) 325-5555
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateMay 29, 2024
Mailing address568 Park Avenue, New York, NY 10065-7370

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