| NPI | 1871785881 |
|---|---|
| Doing Business As | LONG ISLAND CENTER FOR ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY GOLDBERG Pres 516-437-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-04-17 |