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Cosmetic Surgery Of New York Pc
Specialist in Port Jefferson Station, New York
NPI 1124229562

Cosmetic Surgery Of New York Pc is a Specialist based in Port Jefferson Station, NY. Cosmetic Surgery Of New York Pc practices in Port Jefferson Station, NY. The NPI Number for Cosmetic Surgery Of New York Pc is 1124229562 and holds a License No. (New York).

The current practice location address for Cosmetic Surgery Of New York Pc is 4616 Nesconset Hwy, Port Jefferson Station, NY and can be reached out via phone at 631-473-7070 and via fax at 631-331-2654.

Location: 4616 Nesconset Hwy, Port Jefferson Station, NY, 11776-2563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124229562
Provider Name
Cosmetic Surgery Of New York Pc
Credential
Provider Entity Type
Organization
Address
4616 Nesconset Hwy, Port Jefferson Station, NY, 11776-2563
Phone Number
631-473-7070
Fax Number
631-331-2654
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A400036602 01 NY PTAN
institution
Provider Business Practice Location Address Details
Address
4616 Nesconset Hwy
City
Port Jefferson Station
State
New York
Zip
11776-2563
Phone Number
631-473-7070
Fax Number
631-331-2654
person
Provider Business Mailing Address Details
Address
4616 Nesconset Hwy
City
Port Jefferson Station
State
New York
Zip
11776-2563
Phone Number
631-473-7070
Fax Number
631-331-2654
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(New York)
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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