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

Park Ave Reconstructive LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1679968499

Park Ave Reconstructive LLC is an Ambulatory Surgical Clinic/Center in New York, New York. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

461 Park Ave S Ste 7A
New York, NY 10016-8403
Phone: (212) 481-3939
Fax: (212) 688-6602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1679968499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Senderoff — President · (212) 481-3939
NPI enumeratedMarch 30, 2015
Last updated in NPPESMarch 30, 2015
Mailing address461 Park Ave South Ste 7a, New York, NY 10016-8403

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