Provider Demographics
NPI:1871579136
Name:SARATOGA SPRINGS PLASTIC SURGERY PC
Entity type:Organization
Organization Name:SARATOGA SPRINGS PLASTIC SURGERY PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:YARINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACS
Authorized Official - Phone:518-583-4019
Mailing Address - Street 1:7 WELLS ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-1296
Mailing Address - Country:US
Mailing Address - Phone:518-583-4019
Mailing Address - Fax:518-583-3550
Practice Address - Street 1:7 WELLS ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-1296
Practice Address - Country:US
Practice Address - Phone:518-583-4019
Practice Address - Fax:518-583-3550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1771981208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
13F401OtherBLUE CROSS
Y045266OtherCHAMPUS
000424042003OtherBLUE SHIELD
10003029OtherCDPHP
0042746OtherGHI
19108OtherMVP
54023BMedicare ID - Type Unspecified
10003029OtherCDPHP