| Organization Name: | COSMETIC ASSOCIATES |
| NPI Number: | 1093836298 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID K FUNT (MD) |
| Mailing Address: | 19 Irving Pl Woodmere |
| State: | NY US |
| Postal Code: | 115981229 |
| Phone Number: | 5162950404 |
| Fax Number: | 5162952440 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 145631 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |