Provider Demographics
NPI:1174681936
Name:NASSAU PLASTIC SURGICAL SUITES PC
Entity Type:Organization
Organization Name:NASSAU PLASTIC SURGICAL SUITES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR NPSS
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:NEUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-829-7500
Mailing Address - Street 1:935 NORTHERN BLVD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-829-7505
Mailing Address - Fax:516-829-3912
Practice Address - Street 1:935 NORTHERN BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-829-7505
Practice Address - Fax:516-829-3912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical