is a Plastic And Reconstructive Surgery in Huntington, New York. practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for is 1306003405. The last update date is .
's current location address is 77 New Street, Huntington, New York. You can contact this provider via phone number 6319232090 and fax number 6315321371. The mailing address for is 77 New Street, Huntington, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 77 New Street, Huntington, New York |
| Phone Number | 6319232090 |
| Fax Number | 6315321371 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306003405 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 77 New Street |
|---|---|
| City | Huntington |
| State | New York (NY) |
| Post Code | 11743 |
| Phone Number | 6319232090 |
| Fax Number | 6315321371 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 243261 |
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Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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