Organization
COSMOPLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVEH ALIZADEH M.D. (OWNER)
(908) 490-0036
Entity
Organization
Contact information
Practice address
500 N BROADWAY, SUITE 200, JERICHO, NY 11753-2127
(929) 800-1887
Mailing address
45 S PARK PL, # 298, MORRISTOWN, NJ 07960-3924
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
213702-1
NY
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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