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

Maxillofacial Surgery on Park PC

Organization Specialist · NPI 1588082069

Maxillofacial Surgery on Park PC provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
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 Not confirmed with CMS for 12 years — call before visiting
Phone: (212) 838-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 440777 (NY)

Record details

NPI number1588082069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Chotkowski — President · (212) 838-0090
NPI enumeratedApril 2, 2014
Last updated in NPPESApril 2, 2014
Mailing address563 Park Ave, New York, NY 10065-7379

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