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

North Shore Plastic Surgery PC

Organization Plastic and Reconstructive Surgery Physician · NPI 1942665732

North Shore Plastic Surgery PC is a Plastic and Reconstructive Surgery Physician in Melville, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
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

510 Broadhollow Rd Ste 100
Melville, NY 11747-3671
Phone: (631) 424-3600
Fax: (631) 424-2963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X (NY)

Record details

NPI number1942665732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katharine Pyne — Manager · (631) 424-3600
NPI enumeratedDecember 21, 2015
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022
Mailing address510 Broadhollow Rd Ste 100, Melville, NY 11747-3671

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