Provider Demographics
NPI:1619032265
Name:ASSOCIATED PLASTIC SURGEONS & CONSULTANTS, P.C.
Entity Type:Organization
Organization Name:ASSOCIATED PLASTIC SURGEONS & CONSULTANTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLIOT
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBOYS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-423-1000
Mailing Address - Street 1:864 W. JERICHO TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11743-6037
Mailing Address - Country:US
Mailing Address - Phone:631-423-1000
Mailing Address - Fax:631-271-6900
Practice Address - Street 1:864 W JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-6037
Practice Address - Country:US
Practice Address - Phone:631-423-1000
Practice Address - Fax:631-271-6900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty