Organization · NPI-2

950 Park Avenue Plastic Surgery, P.L.L.C.

Surgery, Plastic and Reconstructive Surgery · New York, NY

NPI number1447874599
StatusActive
Last updated in NPPESOct 13, 2020

Details

NPI
1447874599
Entity type
Organization (NPI-2)
Legal business name
950 Park Avenue Plastic Surgery, P.L.L.C.
Organization subpart
No
Enumeration date
Jun 4, 2020
Certification date
Oct 13, 2020
Last updated
Oct 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0122X Surgery, Plastic and Reconstructive Surgery––Yes

Practice location

950 Park Ave
New York, NY 10028-0320

Phone 212-203-8623 · Fax 855-833-0695

Mailing address

950 Park Ave Ste 1a
New York, NY 10028-0320

Phone 212-203-8623 · Fax 855-833-0695

Authorized official

Mark Albert
Owner
2122038623

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