Individual
TED CHAGLASSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 5TH AVE, NEW YORK, NY 10028-0107
(212) 472-7186
(212) 472-8608
Mailing address
1001 5TH AVE, NEW YORK, NY 10028-0107
(212) 472-7186
(212) 472-8608
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
123470
NY
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
123470
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
123470
NY
Other
Enumeration date
09/27/2006
Last updated
01/02/2015
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