Organization · Type 2 NPI

Town Surgery Ny PLLC

Plastic and Reconstructive Surgery Physician · Port Jefferson Station, NY

NPI number 1225762503 Active

Practice location

96 Terryville Rd
Port Jefferson Station, NY 11776-1388

Fax (646) 774-0936

Other practice locations

  • 53 W 36th St Rm 205, New York, NY 10018-7684 · (212) 500-2163

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XNone listed
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

3 other providers at this address

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About NPI 1225762503

Town Surgery Ny PLLC's National Provider Identifier is 1225762503, issued on Jul 13, 2022. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jan 7, 2025.