Organization
ALLURE PLASTIC SURGERY ENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA MONTEIRO (MANAGER)
(718) 477-2020
Entity
Organization
Contact information
Practice address
1424 RICHMOND AVE, STATEN ISLAND, NY 10314-1500
(718) 477-2020
(718) 477-2031
Mailing address
1424 RICHMOND AVE, STATEN ISLAND, NY 10314-1500
(718) 477-2020
(718) 477-2031
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207YS0123X
Facial Plastic Surgery Physician
158614-1
NY
208200000X
Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
220593-1
NY
Other
Enumeration date
11/18/2008
Last updated
09/21/2018
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