Pincus Plastic Surgery PC
Plastic Surgery in Centerport, NY. Organization (NPI-2).
NPI number1982166138
StatusActive
Last updated in NPPESApr 5, 2019
Details
- NPI
- 1982166138
- Entity type
- Organization (NPI-2)
- Legal business name
- Pincus Plastic Surgery PC
- Organization subpart
- No
- Enumeration date
- Apr 4, 2019
- Last updated
- Apr 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | – | – | Yes |
Other names
- Pincus Plastic Surgery PC (Doing Business As)
Practice location
44 Laurel Hill RdCenterport, NY 11721-1637
Phone 631-352-3556 · Fax 631-897-5975
Mailing address
50 Route 111 Ste 300Smithtown, NY 11787-3700
Phone 631-352-3556 · Fax 631-897-5975
Authorized official
Aracely D Rivera
Credentialing Specialist
8454100023
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