Cosmetic Surgery Of New York Pc

LBN: Cosmetic Surgery Of New York Pc
Cosmetic Surgery Of New York Pc is an health care organization with primary practice located at 4616 Nesconset Hwy , Port Jefferson Station NY 11776-2563. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Cosmetic Surgery Of New York Pc can be contacted via phone (631) 473-7070, or through Jacobs, Robert Alan via phone (631) 473-7070.

Contact Information

Primary practice address
4616 Nesconset Hwy Port Jefferson Station NY 11776-2563
Phone: (631) 473-7070
Fax: (631) 331-2654
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Robert Alan Doctor of Medicine (MD)
Phone: (631) 473-7070

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X New York

Profile Details

NPI number 1124229562
LBN Legal business name Cosmetic Surgery Of New York Pc
DBA Doing business as
Authorized official Jacobs, Robert Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124229562 NPPES
New York Other A400036602 PTAN

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