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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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