Park East Plastic Surgery PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

60188359 Issued in NY

Legal business name

PARK EAST PLASTIC SURGERY PC

Practice address

302 E 72ND St
New York, NY 10021-4772

Phone

(212) 734-4488

Fax

(212) 734-5115

NPI assigned

Nov 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edmund K Kwan, MD

Title

Officer

Phone

(212) 734-4488

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1194979203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214772",
            "telephone_number": "212-734-4488",
            "fax_number": "212-734-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214772",
            "telephone_number": "212-734-4488",
            "fax_number": "212-734-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK EAST PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "212-734-4488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "60188359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Park East Sports Medicine & Rehabilitation PC
• Park Hill Ambulataory Anesthesiology Services of New York, P.C.
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• Park Hill Psychiatry PC

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.