Organization · Type 2 NPI
Renaissance Plastic Surgery PLLC
Plastic and Reconstructive Surgery Physician · New York, NY
NPI number
1639880677
Active
Practice location
590 5th Ave Fl 11
New York, NY 10036-4748
Mailing address
PO Box 220424
Great Neck, NY 11022-0424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1639880677
Renaissance Plastic Surgery PLLC's National Provider Identifier is 1639880677, issued on Dec 12, 2022. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in New York, NY. The record was last updated on Jul 9, 2024.