Organization · Type 2 NPI

Fuentes Cosmetic Facility, Inc.

Ambulatory Surgical Clinic/Center · Huntington, NY

NPI number 1376686550 Active

Practice location

120 New York Ave, Ste. 1W
Huntington, NY 11743-2743

Call (631) 385-9377 Map

Mailing address

11999 San Vicente Blvd, Ste. 440
Los Angeles, CA 90049-5131

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1376686550

Fuentes Cosmetic Facility, Inc.'s National Provider Identifier is 1376686550, issued on Feb 15, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Huntington, NY. The record was last updated on Aug 22, 2020.