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

Park Avenue Aesthetic Surgery, PC

Organization Specialist · NPI 1669818324

Park Avenue Aesthetic Surgery, PC provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
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

461 Park Ave S Fl 7
New York, NY 10016-6822 Not confirmed with CMS for 13 years — call before visiting
Phone: (212) 206-6465
Fax: (212) 255-2132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 183561 (NY)

Record details

NPI number1669818324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Dallmann — Billing Manager · (212) 206-6465
NPI enumeratedMay 21, 2013
Last updated in NPPESMay 21, 2013
Mailing address461 Park Ave S Fl 7, New York, NY 10016-6822

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