Individual
DR. NORMA BACILIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
905 FIFTH AVENUE, NEW YORK, NY 10021
(212) 737-9200
(212) 737-9295
Mailing address
905 FIFTH AVENUE, NEW YORK, NY 10021
(212) 737-9200
(212) 737-9295
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
195634
NY
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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