Organization
120 NEW YORK AVE SURGICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW JAMES (PATIENT ACCOUNTS)
(631) 827-8159
Entity
Organization
Contact information
Practice address
120 NEW YORK AVE, HUNTINGTON, NY 11743-2743
(631) 827-8159
Mailing address
120 NEW YORK AVE, HUNTINGTON, NY 11743-2743
(631) 827-8159
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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