Organization · Type 2 NPI
Facial Plastic, Reconstructive & Laser Surgery, PLLC
Facial Plastic Surgery Physician · Poughkeepsie, NY
NPI number
1730218074
Active
Practice location
82 N Water St
Poughkeepsie, NY 12601-1721
Fax (845) 454-8026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | 211519 (NY) |
| Facial Plastic Surgery Physician Primary | 207YS0123X | 211519 (NY) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
2 other providers at this address
About NPI 1730218074
Facial Plastic, Reconstructive & Laser Surgery, PLLC's National Provider Identifier is 1730218074, issued on Mar 4, 2007. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Poughkeepsie, NY. The record was last updated on Oct 1, 2008.