Advanced Plastic Surgery of Northshore, P.c.
NPI #1114114105 in Lake Success, New York
Provider Information
- NPI Number
- 1114114105
- Entity Type
- Organization
- Organization Name
- Advanced Plastic Surgery of Northshore, P.c.
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 3, 2007
- Last Updated
- Sep 19, 2022
Practice Location
- Address
- 2500 MARCUS AVENUE
- Address 2
- SUITE, 103
- City
- Lake Success
- State
- New York
- ZIP Code
- 11042-1018
- Phone
- (516) 354-1330
Authorized Official
- Name
- DR. MAHIRA TANOVIC, M.D.
- Title
- PLASTIC AND HAND SURGEON
- Phone
- (516) 354-1330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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