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General NPI Number Information
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NPI Number | 1366691479
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Entity Type | Individual
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Provider Name | CRISTINA DRACEA MD
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Gender | Female
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 179 BELLE MEADE RD, SUITE 1 SUFFOLK PLASTIC SURGEONS, PC
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City | EAST SETAUKET
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State | NY
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Zip | 11733
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Country | US
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Telephone | 631-751-4400
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Fax | 631-689-2375
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Provider Business Mailing Address
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Address Line | 179 BELLE MEADE RD, SUITE 1 SUFFOLK PLASTIC SURGEONS, PC
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City | EAST SETAUKET
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State | NY
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Zip | 11733
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Country | US
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Telephone | 631-751-4400
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Fax | 631-689-2375
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 262328
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License Number State | NY
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