Organization · NPI-2

Fuentes Cosmetic Facility INC.

Plastic Surgery · Huntington, NY

NPI number1487883534
StatusActive
Last updated in NPPESJul 10, 2009

Details

NPI
1487883534
Entity type
Organization (NPI-2)
Legal business name
Fuentes Cosmetic Facility INC.
Organization subpart
No
Enumeration date
Jul 10, 2009
Last updated
Jul 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery––Yes

Practice location

120 New York Ave
1w
Huntington, NY 11743-2743

Phone 631-385-9381 · Fax 631-385-4372

Mailing address

120 New York Ave
Suite 1w
Huntington, NY 11743-2743

Phone 631-385-9381

Authorized official

Candido E Fuentes
President
6313859381

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