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

Oral Facial Surgery on Park PC

Organization Specialist · NPI 1124499066

Oral Facial Surgery on Park PC provides Specialist services in New York, 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

563 Park Ave
New York, NY 10065-7379 Not confirmed with CMS for 10 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 CERT# 440777 (NY)

Record details

NPI number1124499066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Chotkowski — Medical Director · (212) 838-0090
NPI enumeratedOctober 19, 2015
Last updated in NPPESOctober 19, 2015
Mailing address563 Park Ave, New York, NY 10065-7379

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