Organization
PARK AVENUE COSMETIC SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANA TUMBARELLO (ADMINISTRATOR)
(631) 470-2000
Entity
Organization
Contact information
Practice address
775 PARK AVE STE 205, HUNTINGTON, NY 11743-7527
(631) 470-2000
Mailing address
775 PARK AVE STE 205, HUNTINGTON, NY 11743-7527
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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