Organization
NYC RECONSTRUCTIVE SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRICK E. ANTELL MD (PRESIDENT)
(212) 988-4040
Entity
Organization
Contact information
Practice address
850 PARK AVE, NEW YORK, NY 10075-1845
(212) 988-4040
(212) 988-0527
Mailing address
850 PARK AVE, NEW YORK, NY 10075-1845
(212) 988-4040
(212) 988-0527
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
161860
NY
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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