Aesthetic Plastic Surgery Pc Valid NPI
Organization · Plastic and Reconstructive Surgery Physician · Great Neck, NY
- NPI
- 1114191905
- Type
- Organization (Type 2)
- Primary specialty
- Plastic and Reconstructive Surgery Physician (Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2086S0122X
- License number
- 176128 (NY)
- Enumerated
- 2008-04-14
- Last updated
- 2008-04-14
Practice location
833 Northern Boulevard, Suite 160
Great Neck, NY 11021-5395
(516) 498-8400