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

Park Avenue East Medical Suites PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1407747793

Park Avenue East Medical Suites PLLC is a Plastic and Reconstructive Surgery Physician in New York, New York. Registered with an NPI since 2025.

In the registry since
2025
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

521 Park Ave
New York, NY 10065-8140
Phone: (212) 779-2787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1407747793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Hanna — Owner · (212) 779-2787
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address521 Park Ave Ste C, New York, NY 10065-8195

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