Individual
DAMIAN J HAVRILIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 EXECUTIVE BLVD, SUITE 400, SUFFERN, NY 10901-4164
(845) 357-6202
(845) 357-6239
Mailing address
2 EXECUTIVE BLVD, SUITE 400, SUFFERN, NY 10901-4164
(845) 357-6202
(845) 357-6239
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
175798
NY
208200000X
Plastic Surgery Physician
25MA0638500
NJ
Other
Enumeration date
05/01/2006
Last updated
10/19/2008
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