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

Plastic Surgery and Skincare, PLLC

Organization Medical Specialty Clinic/Center · NPI 1003354531

Plastic Surgery and Skincare, PLLC is a Medical Specialty Clinic/Center in New York, New York. Licensed in New York. Registered with an NPI since 2017.

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

630 Park Ave
New York, NY 10065-6560
Phone: (212) 220-0776
Fax: (212) 214-0581
Show map & directions

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

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 250439 (NY)

Record details

NPI number1003354531
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanalee Ackerman — Practice Manager · (425) 503-1706
Other names Marnie Nussbaum Dermatology
NPI enumeratedFebruary 3, 2017
Last updated in NPPESFebruary 3, 2017
Mailing address630 Park Ave, New York, NY 10065-6560

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