Organization
PINCUS PLASTIC SURGERY PC
Active
Other names
PINCUS PLASTIC SURGERY PC
Organization subpart
No
Provider details
NPI number
Authorized official
ARACELY D RIVERA (CREDENTIALING SPECIALIST)
(845) 410-0023
Entity
Organization
Contact information
Practice address
44 LAUREL HILL RD, CENTERPORT, NY 11721-1637
(631) 352-3556
(631) 897-5975
Mailing address
50 ROUTE 111 STE 300, SMITHTOWN, NY 11787-3700
(631) 352-3556
(631) 897-5975
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245463058
NPI
NY
Enumeration date
04/04/2019
Last updated
04/05/2019
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