Provider Demographics
NPI:1811158496
Name:BEAUTYQUEST SKINCARE LLC
Entity type:Organization
Organization Name:BEAUTYQUEST SKINCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDIAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KULWANT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BHANGOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-633-7546
Mailing Address - Street 1:551 FARBER LAKES DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5779
Mailing Address - Country:US
Mailing Address - Phone:716-633-7546
Mailing Address - Fax:716-633-6800
Practice Address - Street 1:551 FARBER LAKES DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5779
Practice Address - Country:US
Practice Address - Phone:716-633-7546
Practice Address - Fax:716-633-6800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1371533Medicare UPIN