Organization
MILLENNIAL PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC EVERETT MD (CO-FOUNDER)
(516) 673-6633
Entity
Organization
Contact information
Practice address
128 E 62ND ST, NEW YORK, NY 10065-9018
(516) 673-6633
Mailing address
128 E 62ND ST, NEW YORK, NY 10065-9018
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
10/10/2017
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