Organization · NPI-2
Cold Spring Plastic Surgery PC
Plastic Surgery · Huntington, NY
NPI number1093978850
StatusActive
Last updated in NPPESMay 1, 2019
Details
- NPI
- 1093978850
- Entity type
- Organization (NPI-2)
- Legal business name
- Cold Spring Plastic Surgery PC
- Organization subpart
- No
- Enumeration date
- Jul 2, 2008
- Last updated
- May 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 236836 | NY | Yes |
Practice location
224 Wall St Ste 201Huntington, NY 11743-2186
Phone 631-470-9650 · Fax 631-498-0474
Mailing address
224 Wall St Ste 201Huntington, NY 11743-2186
Phone 631-470-9650 · Fax 631-498-0474
Authorized official
Michael Brickman
President
6314709650
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