NPI 1619488848

Pacifico Plastic Surgery Medical PLLC

Organisation Plastic Surgery Physician Staten Island, NY

Practice location

Address: 2372 Victory Blvd, Staten Island, NY 10314-6607
Phone: (718) 761-3700

Authorised official

Name: Denise Reich
Title: Manager
Phone: (718) 761-3700

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 261299 (NY)

Other Plastic Surgery providers in New York →

Registry record

NPI: 1619488848
Entity type: Organization
NPI issued: 16 Oct 2017
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.