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General NPI Number Information
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NPI Number | 1346815735
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Entity Type | Organization
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Legal Business Name | NEW YORK PLASTIC SURGERY PLLC
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 21318 UNION TPKE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-3522
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Country | US
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Telephone | 718-465-3200
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Fax | 646-274-0822
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Provider Business Mailing Address
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Address Line | 21318 UNION TPKE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-3522
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Country | US
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Telephone | 718-465-3200
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Fax | 646-274-0822
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. NADIA AFRIDI
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Credential |
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Telephone | 917-860-8307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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