Organization
FIFTH AVE PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC CHA M.D. (PRESIDENT)
(212) 717-2222
Entity
Organization
Contact information
Practice address
895 PARK AVE, NEW YORK, NY 10075-0327
(212) 717-2222
Mailing address
895 PARK AVE, NEW YORK, NY 10075-0327
(212) 717-2222
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
196022
NY
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
196022
NY
Other
Enumeration date
12/14/2010
Last updated
02/23/2023
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