# PLASTIC SURGERY AND SKINCARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marnie Nussbaum Dermatology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003354531
- **Authorized official:** SHANALEE ACKERMAN (PRACTICE MANAGER)
- **Authorized official phone:** (425) 503-1706

## Contact information

- **Practice address:** 630 PARK AVE, NEW YORK, NY 10065-6560
- **Practice address phone:** (212) 220-0776
- **Practice address fax:** (212) 214-0581
- **Mailing address:** 630 PARK AVE, NEW YORK, NY 10065-6560
- **Mailing address phone:** (212) 220-0776
- **Mailing address fax:** (212) 214-0581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 250439 | NY | Yes |

## Other

- **Enumeration date:** 02/03/2017
- **Last updated:** 02/03/2017