New York Comprehensive Orthognathic And Maxillofacial Surgery Pc Valid NPI
Organization · Oral & Maxillofacial Surgery (D.M.D.) · New Hyde Park, NY
- NPI
- 1699782219
- Type
- Organization (Type 2)
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.) (Oral & Maxillofacial Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 204E00000X
- License number
- 024890 (NY)
- Enumerated
- 2006-08-03
- Last updated
- 2019-07-22
Practice location
2001 Marcus Ave, Suite N-10
New Hyde Park, NY 11042-1011
(516) 775-1818