Organization
NEW YORK AESTHETIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL J. BERAN (OWNER)
(914) 761-8667
Entity
Organization
Contact information
Practice address
10 CHESTER AVE, 2ND FLOOR, WHITE PLAINS, NY 10601-5112
(914) 761-8667
(914) 761-7460
Mailing address
10 CHESTER AVE, 2ND FLOOR, WHITE PLAINS, NY 10601-5112
(914) 761-8667
(914) 761-7460
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
215759-2
NY
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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