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Contact Information

AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC
5700 W GENESEE ST
SUITE 132
CAMILLUS, NY13031-3200
 Phone: 315-487-5858
 Fax: 315-487-1950
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC · (Female)

NPI # 1609865054
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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