Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

209574 Issued in NY

Legal business name

PLASTIC SURGERY PLLC

Practice address

3916 Prince St
Suite 153
Flushing, NY 11354-5361

Phone

(718) 886-8996

Fax

(718) 679-9292

NPI assigned

Jul 10, 2008

Last updated

Dec 28, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steve Lee, M.D.NPI 1710959572

Title

Manager

Phone

(718) 886-8996

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steve Lee, MD

  • Specialist
  • Flushing, NY
  • NPI 1710959572
  Authorized official Same address or phone
• Mary Andrea, DPM

  • Podiatrist
  • Ozone Park, NY
  • NPI 1487675104
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1215190129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 PRINCE ST",
            "address_2": "SUITE 153",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545361",
            "telephone_number": "718-886-8996",
            "fax_number": "718-679-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 PRINCE ST",
            "address_2": "SUITE 153",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545361",
            "telephone_number": "718-886-8996",
            "fax_number": "718-679-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-886-8996",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "209574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.