Organization · Type 2 NPI

Theatre Surgical Arts Office Based Surgery, PC

Plastic Surgery Physician · Smithtown, NY

NPI number 1609347335 Active

Practice location

994 W Jericho Tpke Ste 102
Smithtown, NY 11787-3211

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Plastic Surgery Physician Primary 208200000XNone listed

Plastic Surgery Physician: 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 b…

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About NPI 1609347335

Theatre Surgical Arts Office Based Surgery, PC's National Provider Identifier is 1609347335, issued on Dec 6, 2018. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Smithtown, NY. The record was last updated on Jan 13, 2026.