Organization
FFSNYC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI REITZEN-BASTIDAS MD (OWNER)
(347) 557-8368
Entity
Organization
Contact information
Practice address
715 PARK AVE STE 2, NEW YORK, NY 10021-5047
(347) 557-8368
Mailing address
715 PARK AVE STE 2, NEW YORK, NY 10021-5047
(347) 557-8368
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
09/03/2024
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