Provider Demographics
NPI:1144255795
Name:ARTISTIC PLASTIC SURGERY, P.C.
Entity type:Organization
Organization Name:ARTISTIC PLASTIC SURGERY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SISKIND
Authorized Official - Last Name:REIFFEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-683-1400
Mailing Address - Street 1:12 GREENRIDGE AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1238
Mailing Address - Country:US
Mailing Address - Phone:914-683-1400
Mailing Address - Fax:914-683-0144
Practice Address - Street 1:12 GREENRIDGE AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1238
Practice Address - Country:US
Practice Address - Phone:914-683-1400
Practice Address - Fax:914-683-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical