NPI 1215590914

Engdahl Plastic Surgery, PLLC

Organisation Plastic Surgery Physician Brooklyn, NY

Practice location

Address: 506 6th St, Brooklyn, NY 11215-3609
Phone: (917) 650-0775
Mailing address: 1562 1st Ave # 122, New York, NY 10028-4004

Authorised official

Name: Ryan Engdahl
Title: President
Phone: (917) 650-0775

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in New York →

Registry record

NPI: 1215590914
Entity type: Organization
NPI issued: 17 Apr 2019
Record last updated: 17 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.