Organization
GOTHAM PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP MILLER M.D. (CEO)
(212) 750-7100
Entity
Organization
Contact information
Practice address
60 E 56TH ST, 3RD FL, NEW YORK, NY 10022-3204
(212) 750-7100
Mailing address
60 E 56TH ST, 3RD FL, NEW YORK, NY 10022-3204
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
182720
NY
Other
Enumeration date
10/27/2011
Last updated
05/24/2013
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