| NPI | 1306201066 |
|---|---|
| Doing Business As | LONG ISLAND CENTER FOR ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | KATHY LARSON Office Manager 516-487-4100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 052978) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 041527) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 044656) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 057517-1) | |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |