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Organization

MANHATTAN PLASTIC SURGERY NYC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK CAUDILL (PRACTICE MANAGER)
(352) 325-5555
Entity
Organization

Contact information

Practice address
568 PARK AVENUE, NEW YORK, NY 10065-7370
(352) 325-5555
(346) 202-0106
Mailing address
568 PARK AVENUE, NEW YORK, NY 10065-7370
(352) 325-5555
(346) 202-0106

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
06/03/2024
Last updated
06/03/2024
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