Organization
AESTHETIC PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL SCOTT FEINGOLD MD (PRESIDENT)
(516) 498-8400
Entity
Organization
Contact information
Practice address
833 NORTHERN BOULEVARD, SUITE 160, GREAT NECK, NY 11021-5395
(516) 498-8400
Mailing address
833 NORTHERN BOULEVARD, SUITE 160, GREAT NECK, NY 11021-5395
(516) 498-8400
(516) 498-8404
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
176128
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
187948
NY
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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