Organization · NPI-2

Park Avenue Cosmetic Surgery P.C.

Plastic Surgery · Huntington, NY

NPI number1609528538
StatusActive
Last updated in NPPESJan 21, 2022

Details

NPI
1609528538
Entity type
Organization (NPI-2)
Legal business name
Park Avenue Cosmetic Surgery P.C.
Organization subpart
No
Enumeration date
Jan 21, 2022
Certification date
Jan 21, 2022
Last updated
Jan 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery––Yes

Practice location

775 Park Ave Ste 205
Huntington, NY 11743-7527

Phone 631-470-2000

Mailing address

775 Park Ave Ste 205
Huntington, NY 11743-7527

Authorized official

Jeana Tumbarello
Administrator
6314702000

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