Island Cosmetic And Reconstructive Surgery, Pllc

NPI 1013038702 - Plastic Surgery - 208200000X

NPI Details
NPI 1013038702
Enumeration Date 04/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHANNON SHANNON
Position OFFICE MANAGER
Phone (516) 977-9922
Fax (516) 977-9926
Practice Location
190 E JERICHO TPKE
MINEOLA NY, 11501-2033, US
Phone (516) 977-9922
Fax (516) 977-9926
Business Location
190 E JERICHO TPKE
MINEOLA NY, 11501-2033, US
Phone (516) 977-9922
Fax (516) 977-9926
Toxanomy
Taxonomy Code 208200000X
License State New York
License Number 124739
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According to our database, Island Cosmetic And Reconstructive Surgery, Pllc NPI is 1013038702, taxonomy code is 208200000X and license number is 124739, license state is located at New York. Island Cosmetic And Reconstructive Surgery, Pllc physically located at 190 E Jericho Tpke, Mineola NY, 11501-2033. NPI Number 1033115704 has the healthcare provider type.

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1013038702 NPI number is provided on an as is basis without warranty of any kind. 1013038702 is maintained by the National Plan & Provider Enumeration System. The contents of Island Cosmetic And Reconstructive Surgery, Pllc are for informational purposes only.