Aesthetics & Plastic Surgery Of Park Ave Pllc in East Patchogue - Ambulatory Surgical

Aesthetics & Plastic Surgery Of Park Ave Pllc - NPI 1417155565

Aesthetics & Plastic Surgery Of Park Ave Pllc is a Ambulatory Surgical in East Patchogue, New York. Aesthetics & Plastic Surgery Of Park Ave Pllc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Aesthetics & Plastic Surgery Of Park Ave Pllc is 1417155565. The last update date is 2007-07-10.

Aesthetics & Plastic Surgery Of Park Ave Pllc's current location address is 200 La Bonne Vie Dr, East Patchogue, New York. You can contact this provider via phone number 6312894400 and fax number 6312894403. The mailing address for Aesthetics & Plastic Surgery Of Park Ave Pllc is 200 La Bonne Vie Dr, East Patchogue, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Aesthetics & Plastic Surgery Of Park Ave Pllc
Address 200 La Bonne Vie Dr, East Patchogue, New York
Phone Number 6312894400
Fax Number 6312894403
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Wells Brian Scott
Credentials M.D.
Telephone Number 2127943900

NPI Number Detail

NPI Number 1417155565
Provider Enumeration Date 2007-07-10
Last Updated Date 2007-07-10

Provider Mailing Address Detail

Address 200 La Bonne Vie Dr
City East Patchogue
State New York (NY)
Post Code 117724434
Phone Number 6312894400
Fax Number 6312894403

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Definition:
Provides outpatient surgical services not requiring hospitalization.

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FAQs about Aesthetics & Plastic Surgery Of Park Ave Pllc

What is the unique identifier code issued to Aesthetics & Plastic Surgery Of Park Ave Pllc by the Centers for Medicare & Medicaid Services (CMS)?

The Aesthetics & Plastic Surgery Of Park Ave Pllc has been assigned the NPI (National Provider Identifier) 1417155565. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Aesthetics & Plastic Surgery Of Park Ave Pllc's facilities are geographically located?

The facilities of Aesthetics & Plastic Surgery Of Park Ave Pllc are physically situated at the following location: 200 La Bonne Vie Dr, East Patchogue, NY, 117724434.

What is the Aesthetics & Plastic Surgery Of Park Ave Pllc's specialty and taxonomy code?

The Aesthetics & Plastic Surgery Of Park Ave Pllc's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1417155565 to Aesthetics & Plastic Surgery Of Park Ave Pllc?

The Centers for Medicare & Medicaid Services originally issued the 1417155565 to Aesthetics & Plastic Surgery Of Park Ave Pllc on 2007-07-10.

As of what date was the information pertaining to Aesthetics & Plastic Surgery Of Park Ave Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Aesthetics & Plastic Surgery Of Park Ave Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-10.

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