Organization · Type 2 NPI

Laser Breast Standard Cancer Surgery

Specialist · Plainview, NY

NPI number 1407101934 Active

Practice location

100 Manetto Hill Rd, Suite 210
Plainview, NY 11803

Call (516) 938-4686 Map

Mailing address

27 W 60th St, P.o Box 20760
New York, NY 10023-9991

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.

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About NPI 1407101934

Laser Breast Standard Cancer Surgery's National Provider Identifier is 1407101934, issued on Jul 20, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Plainview, NY. The record was last updated on Jul 20, 2012.