# KINGS COUNTY PLASTIC SURGERY SERVICES, P.C.

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

## Provider details

- **NPI number:** 1720224058
- **Authorized official:** MS. LORRAINE VAZQUEZ (OFFICE MANAGER)
- **Authorized official phone:** (212) 249-7775

## Contact information

- **Practice address:** 50 E 69TH ST, NEW YORK, NY 10021-5002
- **Practice address phone:** (212) 249-7775
- **Practice address fax:** (212) 249-7776
- **Mailing address:** 600 W 111TH ST, NEW YORK, NY 10025-1813
- **Mailing address phone:** (212) 249-7775
- **Mailing address fax:** (212) 249-7776

## Taxonomy

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

## Other

- **Enumeration date:** 12/16/2008
- **Last updated:** 12/16/2008