Provider Demographics
NPI:1962474528
Name:AESTHETIC CONCERNS PROSTHETICS
Entity Type:Organization
Organization Name:AESTHETIC CONCERNS PROSTHETICS
Other - Org Name:LIVINGSKIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSERO
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:845-343-4668
Mailing Address - Street 1:2 EDGEWATER DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-2107
Mailing Address - Country:US
Mailing Address - Phone:845-343-4668
Mailing Address - Fax:845-344-6829
Practice Address - Street 1:2 EDGEWATER DR
Practice Address - Street 2:SUITE 201
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2107
Practice Address - Country:US
Practice Address - Phone:845-343-4668
Practice Address - Fax:845-344-6829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment