MEDICARE: FRANCK PLASTIC SURGERY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1063307205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCK PLASTIC SURGERY, PLLC

Provider Business Mailing Address
First Line	:	1365 YORK AVE APT 17E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4050
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	153 E 88TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-2270
Country	:	US
Telephone Number	:	646-374-8850
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PHILIPP FRANCK
Credential	:	MD
Telephone Number	:	626-319-8638

Provider Enumeration Date	:	06/10/2025
Last Update Date	:	06/10/2025

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