Organization
DYM PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BRUGESS CPC (ADMINISTRATOR)
(718) 532-4050
Entity
Organization
Contact information
Practice address
1165 PARK AVE, NEW YORK, NY 10128-1248
(212) 920-6800
Mailing address
1200 5TH AVE APT 7N, NEW YORK, NY 10029-5208
(917) 538-1366
(833) 821-5297
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
03/11/2021
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