Organization
ADVANCED PLASTIC SURGERY OF NORTHSHORE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHIRA TANOVIC M.D. (PLASTIC AND HAND SURGEON)
(516) 354-1330
Entity
Organization
Contact information
Practice address
2500 MARCUS AVENUE, SUITE, 103, LAKE SUCCESS, NY 11042-1018
(516) 354-1330
(516) 775-5953
Mailing address
2500 MARCUS AVENUE, SUITE, 103, LAKE SUCCESS, NY 11042-1018
(516) 354-1330
(516) 775-5953
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
09/19/2022
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