| NPI | 1891705554 |
|---|---|
| Other Name | NY CENTER ORAL ORTHOGNATHIC & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JOY DREW Partner 631-376-1560 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NY 028490) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-08-01 |