Facial Plastic, Reconstructive & Laser Surgery, Pllc

NPI 1730218074 - Otolaryngology - 207Y00000X

NPI Details
NPI 1730218074
Enumeration Date 03/04/2007
Last Updated 10/01/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MANOJ TIMOTHY MANOJ
Position OWNER
Phone (845) 454-8025
Fax (845) 454-8026
Practice Location
82 N WATER ST
POUGHKEEPSIE NY, 12601-1721, US
Phone (845) 454-8025
Fax (845) 454-8026
Business Location
82 N WATER ST
POUGHKEEPSIE NY, 12601-1721, US
Phone (845) 454-8025
Fax (845) 454-8026
Toxanomy
Taxonomy Code 207Y00000X
License State New York
License Number 211519
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According to our database, Facial Plastic, Reconstructive & Laser Surgery, Pllc NPI is 1730218074, taxonomy code is 207Y00000X and license number is 211519, license state is located at New York. Facial Plastic, Reconstructive & Laser Surgery, Pllc physically located at 82 N Water St, Poughkeepsie NY, 12601-1721. NPI Number 1033115704 has the healthcare provider type.

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1730218074 NPI number is provided on an as is basis without warranty of any kind. 1730218074 is maintained by the National Plan & Provider Enumeration System. The contents of Facial Plastic, Reconstructive & Laser Surgery, Pllc are for informational purposes only.