Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAMIAN J HAVRILIAK, MD
Active Sole ProprietorDAMIAN J HAVRILIAK, MD is a Plastic Surgery healthcare provider located in SUFFERN, New York. NPI 1720046857 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · SUFFERN, NY
Registration Details
- NPI Number
- 1720046857
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2006 (20.305734954863 yrs)
- Last Updated
- Oct 19, 2008
- Licenses
-
175798 (NY)25MA0638500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 EXECUTIVE BLVDSUITE 400SUFFERN, NY, 109014164Browse NY providers · Browse ZIP 10901
- Phone
- 8453576202
- Fax
- 8453576239
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.