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RENAISSANCE PLASTIC SURGERY PLLC
NPI 1639880677
Surgery - Plastic and Reconstructive Surgery in New York, NY

Active since December 12, 2022
590 5TH AVE FL 11, NEW YORK, NY 10036(917) 387-7834 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2024, Dec 12, 2022 (2 updates tracked since 2022).

About Renaissance Plastic Surgery Pllc NPPES

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

RENAISSANCE PLASTIC SURGERY PLLC (NPI 1639880677) is a healthcare organization registered as a plastic and reconstructive surgery in New York, New York and active in the NPI registry since December 2022. The organization lists Irina Domantovsky, President, as its authorized official.

NPPES Registry Identity

NPI1639880677
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameRENAISSANCE PLASTIC SURGERY PLLC
Location Address590 5TH AVE FL 11New York, NY 10036-4748
Mailing AddressPo Box 220424Great Neck, NY 11022-0424 · (917) 387-7834
Phone(917) 387-7834
Organization SubpartNo
Authorized OfficialIrina DomantovskyPresident · (917) 387-7834
Enumeration DateDecember 12, 2022
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1639880677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
590 5TH AVE FL 11, New York, NY 10036
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Other Providers at the Same Location NPPES

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

DR. IRINA DOMANTOVSKY M.D.
Surgery (Plastic and Reconstructive Surgery)
590 5TH AVE FL 11
NEW YORK, NY 10036
New York County (917) 387-7834

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renaissance Plastic Surgery PLLC's NPI number?

The NPI number for Renaissance Plastic Surgery PLLC is 1639880677. It was assigned to this organization in the NPPES registry on December 12, 2022.

Where is Renaissance Plastic Surgery PLLC located?

Renaissance Plastic Surgery PLLC is located at 590 5th Ave Fl 11, New York, NY 10036. The listed phone number is (917) 387-7834.

What is Renaissance Plastic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Renaissance Plastic Surgery PLLC was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.