Organization
FRANCIS R. PELHAM M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS R PELHAM M.D. (OWNER)
(212) 772-2400
Entity
Organization
Contact information
Practice address
1021 PARK AVE, SUITE 105, NEW YORK, NY 10028-0959
(212) 772-2400
(212) 772-2459
Mailing address
1021 PARK AVE, SUITE 105, NEW YORK, NY 10028-0959
(212) 772-2400
(212) 772-2459
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W28911
PTAN
NY
Enumeration date
06/09/2008
Last updated
09/28/2016
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