BINGHAMTON PLASTIC SURGERY PLLC NPI 1013254036

NPI Information

BINGHAMTON PLASTIC SURGERY, PLLC is a specialist in Binghamton, NY. The provider is 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. BINGHAMTON PLASTIC SURGERY, PLLC NPI is 1013254036. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

161 RIVERSIDE DR
SUITE 106
BINGHAMTON, NY
ZIP 13905-176
Phone: (607) 729-0101
Fax: (607) 729-5693

The provider's authorized official is Armando B Mata .
The authorized official title is President and has the following contact phone number (607) 729-0101.

The enumeration date for this NPI number is 1/10/2013 and was last updated on 4/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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