Organization
NEW YORK CITY PLASTIC SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD GROSSMAN (TREASURER)
(718) 222-5999
Entity
Organization
Contact information
Practice address
3039 EMMONS AVE, BROOKLYN, NY 11235-2266
(718) 222-5999
Mailing address
3039 EMMONS AVE, BROOKLYN, NY 11235-2266
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180130
LICENSE
NY
Enumeration date
03/08/2015
Last updated
03/08/2015
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