National Provider Identifier Database

MILLENNIAL PLASTIC SURGERY PLLC
Plastic and Reconstructive Surgery


Contact Information

MILLENNIAL PLASTIC SURGERY PLLC
128 E 62ND ST
NEW YORK, NY10065-9018
Phone: 516-673-6633
Fax:
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X
Plastic Surgery 208200000X

* Indicates primary specialty

NPI Profile & details for MILLENNIAL PLASTIC SURGERY PLLC

NPI Number 1912426735
Legal business name
LBN
MILLENNIAL PLASTIC SURGERY PLLC
Authorized official MARC EVERETT - (CO-FOUNDER)
Entity Organization
Organization subpart No
Enumeration date 09/13/2017
Last updated 10/10/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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