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General NPI Number Information
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NPI Number | 1851552616
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Entity Type | Organization
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Legal Business Name | PS PLASTIC SURGERY, PC
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 530 1ST AVE SUITE 8Y
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 212-263-8452
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Fax | 212-263-1063
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Provider Business Mailing Address
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Address Line | 59 W 12TH ST APT 9G
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City | NEW YORK
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State | NY
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Zip | 10011-8563
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Country | US
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Telephone | 212-263-8452
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Fax | 212-263-1063
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. PIERRE B SAADEH
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Credential | MD
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Telephone | 212-263-8452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 220528
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License Number State | NY
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