Organization
BERAKA MD PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE BERAKA MD (OWNER)
(212) 288-1122
Entity
Organization
Contact information
Practice address
875 PARK AVE, NEW YORK, NY 10075-0341
(212) 288-1122
(212) 288-1129
Mailing address
875 PARK AVE, NEW YORK, NY 10075-0341
(212) 288-1122
(212) 288-1129
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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