# PARK AVENUE FACIAL AND RECONSTRUCTIVE SURGERY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003041583
- **Authorized official:** DR. STEVEN J. PEARLMAN M.D. (DIRECTOR/OWNER)
- **Authorized official phone:** (212) 223-8300

## Contact information

- **Practice address:** 521 PARK AVE, NEW YORK, NY 10065-8195
- **Practice address phone:** (212) 223-8300
- **Practice address fax:** (212) 644-8655
- **Mailing address:** 521 PARK AVE, NEW YORK, NY 10065-8195
- **Mailing address phone:** (212) 223-8300
- **Mailing address fax:** (212) 644-8655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 156744 | NY | Yes |

## Other

- **Enumeration date:** 05/27/2009
- **Last updated:** 05/27/2009
