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

TaxonomyCodeLicense
Specialist Primary 174400000XNone 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

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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.