Organization · Type 2 NPI

Cosmetic Surgery of New York PC

Specialist · Port Jefferson Station, NY

NPI number 1124229562 Active

Practice location

4616 Nesconset Hwy
Port Jefferson Station, NY 11776-2563

Call (631) 473-7070 Map

Fax (631) 331-2654

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.

3 other providers at this address

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About NPI 1124229562

Cosmetic Surgery of New York PC's National Provider Identifier is 1124229562, issued on May 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 21, 2022.