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Aesthetic Md Of Ny
Specialist in Southampton, New York
NPI 1962857987

Aesthetic Md Of Ny is a Specialist based in Babylon, NY. Aesthetic Md Of Ny practices in Southampton, NY. The NPI Number for Aesthetic Md Of Ny is 1962857987 and holds a License No. 174108AN (New York).

The current practice location address for Aesthetic Md Of Ny is 61 Main St, Southampton, NY and can be reached out via phone at 631-669-2883 and via fax at 631-661-0463.

Location: 61 Main St, Southampton, NY, 11702-0621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962857987
Provider Name
Aesthetic Md Of Ny
Credential
Provider Entity Type
Organization
Address
61 Main St, Southampton, NY, 11702-0621
Phone Number
631-669-2883
Fax Number
631-661-0463
Provider Enumeration Date
04/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
61 Main St
City
Southampton
State
New York
Zip
11968-4870
Phone Number
631-669-2883
Fax Number
631-661-0463
person
Provider Business Mailing Address Details
Address
61 Main St
City
Southampton
State
New York
Zip
11968-4870
Phone Number
631-669-2883
Fax Number
631-661-0463
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
174108AN (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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