Organization
JEREMIAH S REDSTONE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH STAR REDSTONE M.D. (PRESIDENT)
(646) 509-8547
Entity
Organization
Contact information
Practice address
45 E 85TH ST, NEW YORK, NY 10028-0957
(212) 249-1500
Mailing address
212 WARREN ST, 11N, NEW YORK, NY 10282-5802
(646) 509-8547
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100031584
PTAN
NY
Enumeration date
07/22/2010
Last updated
12/08/2016
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