National Provider Identifier Database

COSMOPLASTIC SURGERY PLLC
Plastic and Reconstructive Surgery


Contact Information

COSMOPLASTIC SURGERY PLLC
500 N BROADWAY
SUITE 200
JERICHO, NY11753-2127
Phone: 929-800-1887
Fax:
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for COSMOPLASTIC SURGERY PLLC

NPI Number 1922404094
Legal business name
LBN
COSMOPLASTIC SURGERY PLLC
Authorized official KAVEH ALIZADEH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/17/2014
Last updated 11/17/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 213702-1

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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