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Island Cosmetic and Reconstructive Surgery Pllc

Plastic Surgery Physician in Mineola, NY · enumerated 2007 · authorized official Shannon Boyd, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013038702

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Registry record

Entity type Organization (Type 2)
Legal business name Island Cosmetic and Reconstructive Surgery Pllc
Other name <Unavail>
Practice address 190 E Jericho Tpke, Mineola, NY, 11501
Phone (516) 977-9922
Fax (516) 977-9926
Enumeration date Apr 2, 2007
Last updated in NPPES Feb 2, 2026

Taxonomy & classification

208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians · License 124739 (NY) Primary

Authorized official

Name Shannon Boyd
Title Office Manager
Phone (516) 534-2121

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Island Cosmetic and Reconstructive Surgery Pllc?
The NPI for Island Cosmetic and Reconstructive Surgery Pllc is 1013038702, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Island Cosmetic and Reconstructive Surgery Pllc?
NPPES lists Shannon Boyd (Office Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-02.