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

Park Avenue Facial Surgery PLLC

Organization Ambulatory Surgical Clinic/Center · NPI 1992987382

Park Avenue Facial Surgery PLLC is an Ambulatory Surgical Clinic/Center in New York, New York. Registered with an NPI since 2007.

In the registry since
2007
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

1040 Park Ave 86th St
New York, NY 10028-1032
Phone: (212) 452-3362
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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 number1992987382
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joellen Gately — Account Manager · (631) 732-7426
NPI enumeratedNovember 28, 2007
Last updated in NPPESJuly 20, 2011
Mailing address1040 Park Ave, 86th Street, New York, NY 10028-1032

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