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Organization
TOWN SURGERY NY PLLC
Active
Organization
TOWN SURGERY NY PLLC
Active
Other names
Town Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM JACE NADELSON MD (CEO)
(212) 500-2163
Entity
Organization
Contact information
Practice address
96 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1388
(631) 815-2366
(646) 774-0936
Mailing address
96 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1388
(631) 815-2366
(646) 774-0936
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
01/07/2025
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