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

Organization Plastic Surgery Physician · NPI 1619488848

Pacifico Plastic Surgery Medical PLLC is a Plastic Surgery Physician in Staten Island, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
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

2372 Victory Blvd
Staten Island, NY 10314-6607
Phone: (718) 761-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9602 4th Ave, Brooklyn, NY 11209-7851 — (718) 761-3700

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 261299 (NY)

Record details

NPI number1619488848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Reich — Manager · (718) 761-3700
NPI enumeratedOctober 16, 2017
Last updated in NPPESMarch 17, 2018
Mailing address2372 Victory Blvd, Staten Island, NY 10314-6607

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