# GOTHAM PLASTIC SURGERY, PLLC

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

## Provider details

- **NPI number:** 1295011823
- **Authorized official:** DR. PHILIP MILLER M.D. (CEO)
- **Authorized official phone:** (212) 750-7100

## Contact information

- **Practice address:** 60 E 56TH ST, 3RD FL, NEW YORK, NY 10022-3204
- **Practice address phone:** (212) 750-7100
- **Mailing address:** 60 E 56TH ST, 3RD FL, NEW YORK, NY 10022-3204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 182720 | NY | Yes |

## Other

- **Enumeration date:** 10/27/2011
- **Last updated:** 05/24/2013