# SUFFOLK ORAL SURGERY ASSOCIATES LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093753758
- **Authorized official:** VICTORIA JONKE (ADMINISTRATOR)
- **Authorized official phone:** (631) 273-4888

## Contact information

- **Practice address:** 601 SUFFOLK AVE, SUITE 2, BRENTWOOD, NY 11717-4309
- **Practice address phone:** (631) 273-4888
- **Practice address fax:** (631) 273-2398
- **Mailing address:** 601 SUFFOLK AVE, SUITE 2, BRENTWOOD, NY 11717-4309
- **Mailing address phone:** (631) 273-4888
- **Mailing address fax:** (631) 273-2398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 024719 | NY | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 04/01/2009