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

Sunrise Blvd Medical PC

Organization Plastic Surgery Physician · NPI 1013263532

Sunrise Blvd Medical PC is a Plastic Surgery Physician in New York, New York. Registered with an NPI since 2012.

In the registry since
2012
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

601 W 177th St
New York, NY 10033-7152
Phone: (718) 963-0276
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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

Record details

NPI number1013263532
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard McShane — M.D · (718) 963-0276
NPI enumeratedAugust 2, 2012
Last updated in NPPESSeptember 10, 2012
Mailing address601 W 177th St, New York, NY 10033-7152

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