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

Maxillofacial Surgery of Ny PC

Organization Ambulatory Surgical Clinic/Center · NPI 1275071318

Maxillofacial Surgery of Ny PC is an Ambulatory Surgical Clinic/Center in New York, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
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

563 Park Ave
New York, NY 10065-7379
Phone: (212) 838-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence CERT# 440777 (NY)

Record details

NPI number1275071318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Chotkowski — Medical Director · (212) 838-0090
NPI enumeratedFebruary 9, 2017
Last updated in NPPESFebruary 9, 2017
Mailing address563 Park Ave, New York, NY 10065-7379

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