Organization · NPI-2
Meredith Vandegrift, MD, PC
Plastic Surgery · Huntington, NY
NPI number1407439714
StatusActive
Last updated in NPPESFeb 11, 2025
Details
- NPI
- 1407439714
- Entity type
- Organization (NPI-2)
- Legal business name
- Meredith Vandegrift, MD, PC
- Organization subpart
- No
- Enumeration date
- May 4, 2021
- Certification date
- Feb 11, 2025
- Last updated
- Feb 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | – | – | Yes |
Practice location
100 E Main StHuntington, NY 11743-2847
Phone 631-935-0303 · Fax 631-935-7616
Mailing address
100 East Main StreetHuntington, NY 11743-6064
Phone 631-935-0303 · Fax 631-935-7616
Authorized official
Meredith Vandegrift
President
6319350303
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