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Contact Information

PLASTIC COSMETIC AND RESTORATIVE SURGERY PLLC
2640 RIDGEWAY AVENUE
ROCHESTER, NY14626
 Phone: 585-225-0680
 Fax: 585-225-1324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PLASTIC COSMETIC AND RESTORATIVE SURGERY PLLC

NPI # 1063464717
LBN Legal business name PLASTIC COSMETIC AND RESTORATIVE SURGERY PLLC
Authorized official DONALD CAPUANO - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2006
Last updated 04/29/2008 - About 18 years ago
Identifiers
NY License # 1052901
Other P020105290 BCBS AND BLUE CHOICE
Other 100585E0 PREFERRED CARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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