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Organization
PLASTIC & RECONSTRUCTIVE SURGERY, P.C.
Active
Organization
PLASTIC & RECONSTRUCTIVE SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM A SPRUCK (BILLING REPRESENTATIVE)
(914) 242-7635
Entity
Organization
Contact information
Practice address
400 E MAIN ST, NORTH BUILDING, MOUNT KISCO, NY 10549-3417
(914) 242-7610
(914) 241-3239
Mailing address
400 E MAIN ST, NORTH BUILDING, MOUNT KISCO, NY 10549-3417
(914) 242-7610
(914) 241-3239
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
10/03/2006
Last updated
05/28/2008
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