FACIAL PLASTIC, RECONSTRUCTIVE & LASER SURGERY, PLLC
NPI 1730218074
Otolaryngology - Facial Plastic Surgery in Poughkeepsie, NY

Active since March 04, 2007
82 N WATER ST, POUGHKEEPSIE, NY 12601(845) 454-8025(845) 454-8026 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Facial Plastic, Reconstructive & Laser Surgery, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FACIAL PLASTIC, RECONSTRUCTIVE & LASER SURGERY, PLLC (NPI 1730218074) is a healthcare organization registered as a facial plastic surgery in Poughkeepsie, New York and active in the NPI registry since March 2007. The organization lists Manoj Timothy Abraham, Owner, as its authorized official.

NPPES Registry Identity

NPI1730218074
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameFACIAL PLASTIC, RECONSTRUCTIVE & LASER SURGERY, PLLC
Location Address82 N WATER STPoughkeepsie, NY 12601-1721
Mailing Address82 N Water StPoughkeepsie, NY 12601-1721 · (845) 454-8025 · Fax (845) 454-8026
Fax(845) 454-8026
Organization SubpartNo
Authorized OfficialManoj Timothy AbrahamOwner · (845) 454-8025
Enumeration DateMarch 4, 2007
Last NPPES UpdateOctober 1, 2008
NPI 1730218074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License Licensed in NY · 211519
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 211519 (NY)
82 N WATER ST, Poughkeepsie, NY 12601

Other Identifiers 10

Other000415207001NY · Healthnow
Other362957NY · Mvp Ent
Other363203NY · Mvp Plastic
Other7539468NY · Aetna Ppo Pos
Other7M7521NY · Blue Cross Blue Shield
Other3289877NY · Aetna Hmo
OtherP3063915NY · Oxford Liberty, Freedom
Other10074336NY · Cdphp
Medicare UPINH66925NY
Medicare ID-Type UnspecifiedWEW971NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
82 N WATER ST
POUGHKEEPSIE, NY 12601
Otolaryngology (Facial Plastic Surgery)
82 N WATER ST
POUGHKEEPSIE, NY 12601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Facial Plastic, Reconstructive & Laser Surgery, PLLC's NPI number?

The NPI number for Facial Plastic, Reconstructive & Laser Surgery, PLLC is 1730218074. It was assigned to this organization in the NPPES registry on March 4, 2007.

Where is Facial Plastic, Reconstructive & Laser Surgery, PLLC located?

Facial Plastic, Reconstructive & Laser Surgery, PLLC is located at 82 N Water St, Poughkeepsie, NY 12601. The listed phone number is (845) 454-8025.

What is Facial Plastic, Reconstructive & Laser Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Facial Plastic, Reconstructive & Laser Surgery, PLLC was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.