| NPI | 1407217870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG PANOSSIAN Oral Surgeon 516-541-4767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 051170) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |