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Organization

ARISTOCRAT PLASTIC SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAYVON TEHRANI M.D. (DIRECTOR)
(516) 498-9790
Entity
Organization

Contact information

Practice address
560 NORTHERN BLVD, SUITE 109, GREAT NECK, NY 11021-5100
(516) 498-9790
(516) 498-9796
Mailing address
560 NORTHERN BLVD, SUITE 109, GREAT NECK, NY 11021-5100
(516) 498-9790
(516) 498-9796

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
214939
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02463385
NY
01
N84003
ACS HEALTH NET
NY
01
P2995192
OXFORD PROVIDER ID NUMBER
NY
Enumeration date
09/29/2006
Last updated
03/06/2026
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