EAST END PLASTIC, RECONSTRUCTIVE & HAND SURGERY, P.C.
Surgery Yellow Pages
Riverhead, New York
Provider NPI: 1255359600
Organization Information:Organization Name: EAST END PLASTIC, RECONSTRUCTIVE & HAND SURGERY, P.C.
Practice Location:
1267 E MAIN ST RIVERHEAD, NY 11901 US
Tel: 631-369-0490 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1267 E MAIN ST RIVERHEAD, NY 11901 US
Tel: 631-369-0490 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 2082S0105X | Physicians Plastic Surgery Surgery of the Hand | NY | 206403 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
VYTRA INS. PROVIDER ID # | 2127965 | NY | 01 |
WORKERS COMP ID # | 206403-8 | NY | 01 |
MDNY INSURANCE PROVIDER # | AA72815 | NY | 01 |
OXFORD INS. PROVIDER ID # | P831475 | NY | 01 |
UNITED HEALTHCARE INS. # | 2364740 | NY | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin