PACIFICO PLASTIC SURGERY MEDICAL PLLC
NPI 1619488848
Plastic Surgery in Staten Island, NY

Q: What is Pacifico Plastic Surgery Medical PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since October 16, 2017

2372 VICTORY BLVD, STATEN ISLAND, NY 10314(718) 761-3700 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Oct 16, 2017 (2 updates tracked since 2017).

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About Pacifico Plastic Surgery Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFICO PLASTIC SURGERY MEDICAL PLLC (NPI 1619488848) is a healthcare organization registered as a plastic surgery in Staten Island, New York and active in the NPI registry since October 2017. The organization maintains a secondary practice location in Brooklyn and lists Denise Reich, Manager, as its authorized official.

NPPES Registry Identity

NPI1619488848

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NamePACIFICO PLASTIC SURGERY MEDICAL PLLC

Location Address2372 VICTORY BLVDStaten Island, NY 10314-6607

Mailing Address2372 Victory BlvdStaten Island, NY 10314-6607 · (718) 761-3700

Phone(718) 761-3700

Organization SubpartNo

Authorized OfficialDenise ReichManager · (718) 761-3700

Enumeration DateOctober 16, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1619488848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in NY · 261299

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

2372 VICTORY BLVD, Staten Island, NY 10314

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Secondary Practice Location 1

Location 19602 4th AveBrooklyn, NY 11209-7851 · Phone (718) 761-3700

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORY MEDICAL PLLC

Plastic Surgery