Facial Plastic, Reconstructive & Laser Surgery, Pllc

LBN: Facial Plastic, Reconstructive & Laser Surgery, Pllc
Facial Plastic, Reconstructive & Laser Surgery, Pllc is an health care organization with primary practice located at 82 N Water St , Poughkeepsie NY 12601-1721. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is the primary health care specialty. Facial Plastic, Reconstructive & Laser Surgery, Pllc can be contacted via phone (845) 454-8025, or through Abraham, Manoj Timothy via phone (845) 454-8025.

Contact Information

Primary practice address
82 N Water St Poughkeepsie NY 12601-1721
Phone: (845) 454-8025
Fax: (845) 454-8026
Website:
Map and Directions
Authorized official contact:
Name: Abraham, Manoj Timothy M.D., F.A.C.S.
Phone: (845) 454-8025

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 211519 New York
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 211519 New York

Profile Details

NPI number 1730218074
LBN Legal business name Facial Plastic, Reconstructive & Laser Surgery, Pllc
DBA Doing business as
Authorized official Abraham, Manoj Timothy M.D., F.A.C.S.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2007
Last updated Oct 1st, 2008 - about 17 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 1730218074 NPPES
New York Other 7539468 AETNA PPO POS
New York Other 000415207001 AETNA PPO POS
New York Other 10074336 AETNA PPO POS
New York Other 363203 AETNA PPO POS
New York Other P3063915 AETNA PPO POS
New York Other 3289877 AETNA PPO POS
New York Other 362957 AETNA PPO POS
New York Other 7M7521 AETNA PPO POS

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