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AESTHETIC PLASTIC SURGERY PC NPI 1114191905


NPI Information

NPI: 1114191905
Provider Name: AESTHETIC PLASTIC SURGERY PC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

CLIA Number: 33D1052635

Address:
833 NORTHERN BOULEVARD
SUITE 160
GREAT NECK, NY
ZIP 11021
Phone: (516) 498-8400
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AESTHETIC PLASTIC SURGERY PC is a plastic and reconstructive surgery surgery in Great Neck, NY. The provider is a surgeon who specializes in plastic and reconstructive surgery. AESTHETIC PLASTIC SURGERY PC NPI is 1114191905. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

833 NORTHERN BOULEVARD
SUITE 160
GREAT NECK, NY
ZIP 11021-395
Phone: (516) 498-8400

The provider's authorized official is Randall Scott Feingold .
The authorized official title is President and has the following contact phone number (516) 498-8400.

The CLIA number assigned to this NPI record is 33D1052635 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2008 and was last updated on 4/14/2008.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive Surgery187948NEW YORKNo
22086S0122XSurgeryPlastic and Reconstructive Surgery176128NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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