Organization · NPI-2

128 Central Park South Physicians PLLC

Plastic Surgery · New York, NY

NPI number1629468939
StatusActive
Last updated in NPPESJan 26, 2015

Details

NPI
1629468939
Entity type
Organization (NPI-2)
Legal business name
128 Central Park South Physicians PLLC
Organization subpart
No
Enumeration date
Jan 26, 2015
Last updated
Jan 26, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery225031NYYes

Practice location

128 Central Park S
New York, NY 10019-1565

Phone 212-265-2724 · Fax 212-265-2735

Mailing address

128 Central Park S
New York, NY 10019-1565

Phone 212-265-2724 · Fax 212-265-2735

Authorized official

Christopher Chia
Medical Director
2122652724

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