Organization
KINGS COUNTY PLASTIC SURGERY SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORRAINE VAZQUEZ (OFFICE MANAGER)
(212) 249-7775
Entity
Organization
Contact information
Practice address
50 E 69TH ST, NEW YORK, NY 10021-5002
(212) 249-7775
(212) 249-7776
Mailing address
600 W 111TH ST, NEW YORK, NY 10025-1813
(212) 249-7775
(212) 249-7776
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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