Island Cosmetic and Reconstructive Surgery Pllc

NPI #1013038702 in Mineola, New York

Provider Information

NPI Number: 1013038702
Entity Type: Organization
Organization Name: Island Cosmetic and Reconstructive Surgery Pllc
Primary Specialty: Plastic Surgery
Enumeration Date: Apr 2, 2007
Last Updated: Feb 2, 2026

Practice Location

Address: 190 E JERICHO TPKE
City: Mineola
State: New York
ZIP Code: 11501-2033
Phone: (516) 977-9922

Authorized Official

Name: MS. SHANNON BOYD
Title: OFFICE MANAGER
Phone: (516) 534-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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