EAST END PLASTIC RECONSTRUCTIVE & HAND SURGERY P.C. NPI 1255359600

NPI Information

NPI: 1255359600
Provider Name: EAST END PLASTIC, RECONSTRUCTIVE & HAND SURGERY, P.C.
Classification: Plastic Surgery - 2082S0105X
Entity Type: Organization

Specialization: Surgery of the Hand

Address:
1267 E MAIN ST
RIVERHEAD, NY
ZIP 11901
Phone: (631) 369-0490
Get Directions

EAST END PLASTIC, RECONSTRUCTIVE & HAND SURGERY, P.C. is a surgery of the hand plastic surgery in Riverhead, NY. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. EAST END PLASTIC, RECONSTRUCTIVE & HAND SURGERY, P.C. NPI is 1255359600. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1267 E MAIN ST
RIVERHEAD, NY
ZIP 11901-673
Phone: (631) 369-0490
Fax: (631) 369-6421

The provider's authorized official is Judy Ann Emanuele .
The authorized official title is Physician and has the following contact phone number (631) 369-0490.

The enumeration date for this NPI number is 7/17/2006 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2082S0105X	Plastic Surgery	Surgery of the Hand	206403	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2127965	OTHER	NEW YORK	VYTRA INS. PROVIDER ID #
2	206403-8	OTHER	NEW YORK	WORKERS COMP ID #
3	AA72815	OTHER	NEW YORK	MDNY INSURANCE PROVIDER #
4	P831475	OTHER	NEW YORK	OXFORD INS. PROVIDER ID #
5	2364740	OTHER	NEW YORK	UNITED HEALTHCARE INS. #

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: 11/14/2023

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