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Organization

FIFTH AVENUE MILLENNIUM AESTHETIC SURGERY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEO KEEGAN M.D. (PARTNER)
(212) 288-9800
Entity
Organization

Contact information

Practice address
1125 5TH AVE, NEW YORK, NY 10128-0143
(212) 288-9800
(212) 860-7446
Mailing address
1125 5TH AVE, NEW YORK, NY 10128-0143
(212) 288-9800
(212) 860-7446

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
06/04/2008
Last updated
06/04/2008
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