Organization
TOWN SURGERY NY PLLC
Active
Other names
Town Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM JACE NADELSON MD (CEO)
(212) 500-2163
Entity
Organization
Contact information
Practice address
96 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1388
(631) 815-2366
(646) 774-0936
Mailing address
96 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1388
(631) 815-2366
(646) 774-0936
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
01/07/2025
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