# ORAL AND IMPLANT SURGERY OF MANHATTAN, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Infinity Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063802627
- **Authorized official:** DR. MICHELE SHOSHANA BERGEN DMD, MD, FACS (SOLE MEMBER)
- **Authorized official phone:** (212) 752-8600

## Contact information

- **Practice address:** 18 E 48TH ST, SUITE 1502, NEW YORK, NY 10017-1014
- **Practice address phone:** (212) 752-8600
- **Practice address fax:** (203) 661-0155
- **Mailing address:** 455 W 23RD ST, APT. 17AB, NEW YORK, NY 10011-2148
- **Mailing address phone:** (212) 752-8600
- **Mailing address fax:** (203) 661-0155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 231685 | NY | Yes |

## Other

- **Enumeration date:** 02/03/2015
- **Last updated:** 02/03/2015