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

Organization Plastic Surgery Physician · NPI 1770129058

Northeast Plastic Surgery PLLC is a Plastic Surgery Physician in New York, New York. Registered with an NPI since 2019.

In the registry since
2019
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

245 5th Ave Fl 3
New York, NY 10016-8728
Phone: (917) 708-0018
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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 number1770129058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shareef Jandali — Owner · (203) 604-5865
NPI enumeratedNovember 21, 2019
Last updated in NPPESNovember 21, 2019
Mailing address21 Southport Ter, Southport, CT 06890-1492

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