Provider Demographics
NPI:1386678571
Name:COSMETIC SURGERY ASSOCIATES OF WESTCHESTER, PLLC
Entity Type:Organization
Organization Name:COSMETIC SURGERY ASSOCIATES OF WESTCHESTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:MORELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-761-8667
Mailing Address - Street 1:10 CHESTER AVE
Mailing Address - Street 2:2ND & 3RD FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-5112
Mailing Address - Country:US
Mailing Address - Phone:914-761-8667
Mailing Address - Fax:914-761-5311
Practice Address - Street 1:10 CHESTER AVE
Practice Address - Street 2:2ND & 3RD FLOOR
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-5112
Practice Address - Country:US
Practice Address - Phone:914-761-8667
Practice Address - Fax:914-761-5311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX ID NUMBER