# LIBERTY ORAL SURGERY

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

## Provider details

- **NPI number:** 1104338946
- **Authorized official:** STUARD A KATZ DMD (CO-OWNER)
- **Authorized official phone:** (718) 494-2053

## Contact information

- **Practice address:** 201 EDWARD CURRY AVE STE 101, STATEN ISLAND, NY 10314-7102
- **Practice address phone:** (718) 494-2053
- **Mailing address:** 201 EDWARD CURRY AVE STE 101, STATEN ISLAND, NY 10314-7102
- **Mailing address phone:** (718) 494-2053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 040797-1 | NY | Yes |

## Other

- **Enumeration date:** 11/02/2017
- **Last updated:** 11/02/2017
