MEDICARE: IRA SAVETSKY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician	S0377	TX

General Provider Information

NPI Number	:	1871883421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRA SAVETSKY MD

Provider Business Mailing Address
First Line	:	737 PARK AVE APT 1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4264
Country	:	US
Telephone Number	:	212-300-9863
Fax Number	:

Provider Business Practice Location Address
First Line	:	737 PARK AVE APT 1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4264
Country	:	US
Telephone Number	:	212-300-9863
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2011
Last Update Date	:	09/01/2022

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