Advanced Plastic Surgery Of Northshore, P.C. in Lake Success - Specialist
Advanced Plastic Surgery Of Northshore, P.C. - NPI 1114114105
Advanced Plastic Surgery Of Northshore, P.C. is a Specialist in Lake Success, New York. Advanced Plastic Surgery Of Northshore, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Advanced Plastic Surgery Of Northshore, P.C. is 1114114105. The last update date is 2022-09-19.
Advanced Plastic Surgery Of Northshore, P.C.'s current location address is 2500 Marcus Avenue, Lake Success, New York. You can contact this provider via phone number 5163541330 and fax number 5167755953. The mailing address for Advanced Plastic Surgery Of Northshore, P.C. is 2500 Marcus Avenue, Lake Success, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Plastic Surgery Of Northshore, P.C. |
|---|---|
| Address | 2500 Marcus Avenue, Lake Success, New York |
| Phone Number | 5163541330 |
| Fax Number | 5167755953 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PLASTIC AN |
|---|---|
| Authorized Official Name | Tanovic Mahira |
| Credentials | M.D. |
| Telephone Number | 5163541330 |
NPI Number Detail
| NPI Number | 1114114105 |
|---|---|
| Provider Enumeration Date | 2007-10-03 |
| Last Updated Date | 2022-09-19 |
Provider Mailing Address Detail
| Address | 2500 Marcus Avenue |
|---|---|
| City | Lake Success |
| State | New York (NY) |
| Post Code | 110421018 |
| Phone Number | 5163541330 |
| Fax Number | 5167755953 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to Advanced Plastic Surgery Of Northshore, P.C. by the Centers for Medicare & Medicaid Services?
The Advanced Plastic Surgery Of Northshore, P.C. has been assigned the NPI (National Provider Identifier) 1114114105. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Advanced Plastic Surgery Of Northshore, P.C. is geographically located?
The Advanced Plastic Surgery Of Northshore, P.C. is physically situated at the following location: 2500 Marcus Avenue, Lake Success, NY, 110421018.
What is the Advanced Plastic Surgery Of Northshore, P.C.'s specialty and taxonomy code?
The Advanced Plastic Surgery Of Northshore, P.C.'s specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114114105 to Advanced Plastic Surgery Of Northshore, P.C.?
The Centers for Medicare & Medicaid Services assigned the 1114114105 to Advanced Plastic Surgery Of Northshore, P.C. on 2007-10-03.
As of what date was the information pertaining to Advanced Plastic Surgery Of Northshore, P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Advanced Plastic Surgery Of Northshore, P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-09-19.