Provider Demographics
NPI:1346991957
Name:RISIN PLASTIC SURGERY ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:RISIN PLASTIC SURGERY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SIMON
Authorized Official - Last Name:RISIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-515-5787
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-0326
Mailing Address - Country:US
Mailing Address - Phone:732-515-5787
Mailing Address - Fax:
Practice Address - Street 1:44 COCOANUT ROW STE B126
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-4069
Practice Address - Country:US
Practice Address - Phone:561-515-5787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Multi-Specialty