Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI Number | 1639880677 |
| LBN Legal business name | RENAISSANCE PLASTIC SURGERY PLLC |
| Authorized official | IRINA DOMANTOVSKY - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/12/2022 |
| Last updated | 07/09/2024 - More than a year ago |
| Identifiers | n/a |
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RENAISSANCE PLASTIC SURGERY PLLC
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RENAISSANCE PLASTIC SURGERY PLLC