Organization · Type 2 NPI
Advanced Plastic Surgery of Northshore, P.c.
Specialist · Lake Success, NY
NPI number
1114114105
Active
Practice location
2500 Marcus Avenue, Suite, 103
Lake Success, NY 11042-1018
Fax (516) 775-5953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
Other specialist providers in Lake Success
About NPI 1114114105
Advanced Plastic Surgery of Northshore, P.c.'s National Provider Identifier is 1114114105, issued on Oct 3, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Success, NY. The record was last updated on Sep 19, 2022.