institution
East End Plastic, Reconstructive & Hand Surgery, P.c.
Surgery of the Hand (Plastic Surgery) Physician in Riverhead, New York
NPI 1255359600

East End Plastic, Reconstructive & Hand Surgery, P.c. is a Surgery of the Hand (Plastic Surgery) Physician based in Riverhead, NY and is specialized in Surgery of the Hand. East End Plastic, Reconstructive & Hand Surgery, P.c. practices in Riverhead, NY. The NPI Number for East End Plastic, Reconstructive & Hand Surgery, P.c. is 1255359600 and holds a License No. 206403 (New York).

The current practice location address for East End Plastic, Reconstructive & Hand Surgery, P.c. is 1267 E Main St, Riverhead, NY and can be reached out via phone at 631-369-0490 and via fax at 631-369-6421.

Location: 1267 E Main St, Riverhead, NY, 11901-2673
institution
Provider Profile Details
NPI Number
1255359600
Provider Name
East End Plastic, Reconstructive & Hand Surgery, P.c.
Credential
Provider Entity Type
Organization
Address
1267 E Main St, Riverhead, NY, 11901-2673
Phone Number
631-369-0490
Fax Number
631-369-6421
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2127965 01 NY VYTRA INS. PROVIDER ID #
206403-8 01 NY WORKERS COMP ID #
2364740 01 NY UNITED HEALTHCARE INS. #
AA72815 01 NY MDNY INSURANCE PROVIDER #
P831475 01 NY OXFORD INS. PROVIDER ID #
institution
Provider Business Practice Location Address Details
Address
1267 E Main St
City
State
Zip
11901-2673
Phone Number
631-369-0490
Fax Number
631-369-6421
person
Provider Business Mailing Address Details
Address
1267 E Main St
City
State
Zip
11901-2673
Phone Number
631-369-0490
Fax Number
631-369-6421
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Surgery of the Hand
Taxonomy
License No.
206403 (New York)
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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