National Provider Identifier Database

NYC RECONSTRUCTIVE SURGERY PC
Plastic and Reconstructive Surgery


Contact Information

NYC RECONSTRUCTIVE SURGERY, PC
850 PARK AVE
NEW YORK, NY10075-1845
Phone: 212-988-4040
Fax: 212-988-0527
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for NYC RECONSTRUCTIVE SURGERY, PC

NPI Number 1548508963
Legal business name
LBN
NYC RECONSTRUCTIVE SURGERY, PC
Authorized official DARRICK ANTELL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/18/2013
Last updated 01/18/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 161860

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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