Organization
ENGDAHL PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ENGDAHL MD (PRESIDENT)
(917) 650-0775
Entity
Organization
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(917) 650-0775
Mailing address
1562 1ST AVE # 122, NEW YORK, NY 10028-4004
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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