Organization
AESTHETIC FACIAL SURGERY CENTER OF NY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEH S SLUPCHYNSKYJ M.D. (DIRECTOR)
(212) 628-6464
Entity
Organization
Contact information
Practice address
44 E 65TH ST, SUITE 1-A, NEW YORK, NY 10065-7022
(212) 608-6464
(212) 628-4083
Mailing address
44 E 65TH ST, SUITE 1-A, NEW YORK, NY 10065-7022
(212) 628-6464
(212) 628-4083
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
69922
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01744930
—
NY
Enumeration date
11/16/2007
Last updated
05/04/2010
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