NEW YORK AESTHETIC SURGERY PC NPI 1053345280

NPI Information

NEW YORK AESTHETIC SURGERY, PC is a plastic and reconstructive surgery surgery in White Plains, NY. The provider is a surgeon who specializes in plastic and reconstructive surgery. NEW YORK AESTHETIC SURGERY, PC NPI is 1053345280. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 CHESTER AVE
2ND FLOOR
WHITE PLAINS, NY
ZIP 10601-112
Phone: (914) 761-8667
Fax: (914) 761-7460

The provider's authorized official is Samuel J. Beran .
The authorized official title is Owner and has the following contact phone number (914) 761-8667.

The CLIA number assigned to this NPI record is 33D2194082 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/22/2020.

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:

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