National Provider Identifier Database

AESTHETIC PLASTIC SURGERY PC
Plastic and Reconstructive Surgery


Contact Information

AESTHETIC PLASTIC SURGERY PC
833 NORTHERN BOULEVARD
SUITE 160
GREAT NECK, NY11021-5395
Phone: 516-498-8400
Fax:
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for AESTHETIC PLASTIC SURGERY PC

NPI Number 1114191905
Legal business name
LBN
AESTHETIC PLASTIC SURGERY PC
Authorized official RANDALL FEINGOLD - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/14/2008
Last updated 04/14/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 176128
  • NY License #: 187948

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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