NYC RECONSTRUCTIVE SURGERY, PC
Radiology at Park Ave, New York, NY

License number
New York 161860
Category
Radiology
Type
Plastic and Reconstructive Surgery
Owner
Name: DARRICK E. ANTELL MD
Title: PRESIDENT
Phone: (212) 988-4040
Address
Address
850 Park Ave, New York, NY 10075
National Provider ID: 1548508963
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NYC RECONSTRUCTIVE SURGERY, PC

850 Park Ave, New York, NY 10075

Registration:
Nov 9, 2012
State ID:
4318647
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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