Provider Demographics
NPI:1659955656
Name:NY BREAST SURGERY PLLC
Entity Type:Organization
Organization Name:NY BREAST SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLASILOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:917-992-7243
Mailing Address - Street 1:400 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5164
Mailing Address - Country:US
Mailing Address - Phone:917-992-7243
Mailing Address - Fax:
Practice Address - Street 1:400 E 54TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5164
Practice Address - Country:US
Practice Address - Phone:917-992-7243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty