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

Staten Island Special Surgery PC

Organization Plastic Surgery Physician · NPI 1689904211

Staten Island Special Surgery PC is a Plastic Surgery Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
Specialties on file
3
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

1112 S Ave
Staten Island, NY 10314-3410
Phone: (718) 982-0800
Fax: (718) 982-0811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 212519 (NY)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X · Licence 212519 (NY)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 212519 (NY)

Record details

NPI number1689904211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Spencer Malkin — Ceo · (917) 815-2299
NPI enumeratedJanuary 4, 2010
Last updated in NPPESJanuary 4, 2010
Mailing address1112 South Ave, Staten Island, NY 10314-3410

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