Northeast Plastic Surgery Center LLC
Surgery, Plastic and Reconstructive Surgery in Old Lyme, Connecticut
1932586682- Practice location
- 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371
- Phone
- 917-699-3727
- Fax
- 718-672-4251
- Last updated
- May 1, 2015
Northeast Plastic Surgery Center LLC is a healthcare organization based in Old Lyme, CT. Northeast Plastic Surgery Center LLC practices in Old Lyme, CT. The NPI Number for Northeast Plastic Surgery Center LLC is 1932586682 and holds a License No. 045607 (CT). The current practice location address for Northeast Plastic Surgery Center LLC is 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371 and can be reached out via phone at 917-699-3727 and via fax at 718-672-4251.
Provider Profile Details
- NPI Number
- 1932586682
- Provider Name
- Northeast Plastic Surgery Center LLC
- Provider Entity Type
- Organization
- Address
- 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371
- Phone Number
- 917-699-3727
- Fax Number
- 718-672-4251
- Primary Taxonomy
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X
- Organization Subpart
- No
- Authorized Official
- Dr. Vinod Pathy, MD · Owner · 917-699-3727
- Provider Enumeration Date
- May 1, 2015
- Last Update Date
- May 1, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5-1 Davis Road West
Suite 3
Old Lyme, CT 06371 - City
- Old Lyme
- State
- Connecticut
- Zip
- 06371
- Phone Number
- 917-699-3727
- Fax Number
- 718-672-4251
Provider Business Mailing Address Details
- Address
- 12 Halls RD
Unit 878
Old Lyme, CT 06371-7000 - City
- Old Lyme
- State
- CT
- Zip
- 06371-7000
- Phone Number
- 917-699-3727
- Fax Number
- 718-672-4251
License Information
- License Number
- 045607
- License State
- CT
- Taxonomy
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery, Plastic and Reconstructive Surgery providers near Old Lyme, CT
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- Dr. Holly A Schiff, PSYDPsychologist, Clinical · NPI 1184262057
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Frequently Asked Questions
What is the NPI number of Northeast Plastic Surgery Center LLC?
The NPI number of Northeast Plastic Surgery Center LLC is 1932586682. It was assigned on May 1, 2015 and is currently active in the NPPES registry.
What is the specialty of Northeast Plastic Surgery Center LLC?
Northeast Plastic Surgery Center LLC is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in CT under license number 045607.
Where does Northeast Plastic Surgery Center LLC practice?
The practice location is 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371. The office can be reached at 917-699-3727 (phone) or 718-672-4251 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932586682 directly on the NPPES registry website.