Organization
THE PLASTIC SURGERY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRIET PILTZ (ADMINISTRATOR)
(516) 466-7000
Entity
Organization
Contact information
Practice address
650 NORTHERN BLVD, GREAT NECK, NY 11021-5204
(516) 466-7000
(516) 466-9024
Mailing address
650 NORTHERN BLVD, GREAT NECK, NY 11021-5204
(516) 466-7000
(516) 466-9024
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C18029
MEDICARE RAILROAD RETIREMENT
NY
Enumeration date
09/19/2007
Last updated
09/16/2020
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