# 5TH AVENUE COSMETIC SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619321916
- **Authorized official:** DR. BARRY M WEINTHRAUB MD (DOCTOR)
- **Authorized official phone:** (212) 737-7500

## Contact information

- **Practice address:** 800A 5TH AVE, NEW YORK, NY 10065-7215
- **Practice address phone:** (212) 737-7500
- **Practice address fax:** (212) 737-7502
- **Mailing address:** 800A 5TH AVE, NEW YORK, NY 10065-7215
- **Mailing address phone:** (212) 737-7500
- **Mailing address fax:** (212) 737-7502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NY | Yes |

## Other

- **Enumeration date:** 04/22/2016
- **Last updated:** 04/22/2016
