# PARK EAST PLASTIC SURGERY PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1194979203
- **Authorized official:** EDMUND K KWAN MD (OFFICER)
- **Authorized official phone:** (212) 734-4488

## Contact information

- **Practice address:** 302 E 72ND ST, NEW YORK, NY 10021-4772
- **Practice address phone:** (212) 734-4488
- **Practice address fax:** (212) 734-5115
- **Mailing address:** 302 E 72ND ST, NEW YORK, NY 10021-4772
- **Mailing address phone:** (212) 734-4488
- **Mailing address fax:** (212) 734-5115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 60188359 | NY | Yes |

## Other

- **Enumeration date:** 11/17/2008
- **Last updated:** 11/17/2008