Organization
PLASTIC SURGERY PRACTICE AT GREENWICH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANSAR MIR (OWNER)
(212) 606-8150
Entity
Organization
Contact information
Practice address
44 AMOGERONE CROSSWAY #8151, GREENWICH, CT 06830
(212) 606-8150
Mailing address
44 AMOGERONE CROSSWAY #8151, GREENWICH, CT 06830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
238911
NY
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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