Provider Demographics
NPI:1194959882
Name:COLEN MD PLASTIC SURGERY SUITE,PLLC
Entity type:Organization
Organization Name:COLEN MD PLASTIC SURGERY SUITE,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SASS-COLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-772-1300
Mailing Address - Street 1:742 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4251
Mailing Address - Country:US
Mailing Address - Phone:212-772-1300
Mailing Address - Fax:212-772-1308
Practice Address - Street 1:742 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4251
Practice Address - Country:US
Practice Address - Phone:212-772-1300
Practice Address - Fax:212-772-1308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical