NPI 1689904211

Staten Island Special Surgery P.C.

Organisation Plastic Surgery Physician Staten Island, NY

Practice location

Address: 1112 South Ave, Staten Island, NY 10314-3410
Phone: (718) 982-0800
Fax: (718) 982-0811

Authorised official

Name: Spencer Malkin
Title: Ceo
Phone: (917) 815-2299

Registered specialties (3)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 212519 (NY)

Other Plastic Surgery providers in New York →

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2082S0099X Licence 212519 (NY)

Surgery of the Hand (Plastic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2082S0105X Licence 212519 (NY)

Registry record

NPI: 1689904211
Entity type: Organization
NPI issued: 4 Jan 2010
Record last updated: 4 Jan 2010

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.