National Provider Identifier Database

PLASTIC AND RECONSTRUCTIVE BREAST SURGERY PLLC
Plastic and Reconstructive Surgery


Contact Information

PLASTIC AND RECONSTRUCTIVE BREAST SURGERY PLLC
499 7TH AVE
FL 20N
NEW YORK, NY10018-6803
Phone: 917-716-3724
Fax: 718-672-4251
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for PLASTIC AND RECONSTRUCTIVE BREAST SURGERY PLLC

NPI Number 1548645260
Legal business name
LBN
PLASTIC AND RECONSTRUCTIVE BREAST SURGERY PLLC
Authorized official RICHARD AGAG - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/23/2015
Last updated 07/23/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 245976

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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