MANHATTAN FACIAL PLASTICS & RECONSTRUCTION NPI 1407076565

NPI Information

  • NPI: 1407076565
  • Provider Name: MANHATTAN FACIAL PLASTICS & RECONSTRUCTION
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Organization
  • CLIA Number: 33D2203018
  • Address: 1040 PARK AVENUE
    86TH STREET
    NEW YORK, NY
    ZIP 10028
  • Phone: (212) 452-3362

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NPI Details

MANHATTAN FACIAL PLASTICS & RECONSTRUCTION is a facial plastic surgery otolaryngology in New York, NY. The provider is an otolaryngologist who specializes in facial plastic surgery. MANHATTAN FACIAL PLASTICS & RECONSTRUCTION NPI is 1407076565. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1040 PARK AVENUE
86TH STREET
NEW YORK, NY
ZIP 10028
Phone: (212) 452-3362

The provider's authorized official is Samieh Rizk .
The authorized official title is President and has the following contact phone number (212) 452-3362.

The CLIA number assigned to this NPI record is 33D2203018 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YS0123XOtolaryngologyFacial Plastic Surgery198258NEW YORKYes

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This page was last updated on: 11/21/2025

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