# NEW YORK ORAL MAXILLOFACIAL AND IMPLANT SURGERY P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1124327135
- **Authorized official:** MR. ANDREW HOROWITZ D.M.D., M.D. (OWNER/PARTNER)
- **Authorized official phone:** (914) 472-0100

## Contact information

- **Practice address:** 495 CENTRAL PARK AVE, SUITE 201, SCARSDALE, NY 10583-1068
- **Practice address phone:** (914) 472-0100
- **Practice address fax:** (914) 472-1563
- **Mailing address:** 495 CENTRAL PARK AVE, SUITE 201, SCARSDALE, NY 10583-1068
- **Mailing address phone:** (914) 472-0100
- **Mailing address fax:** (914) 472-1563

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2011
- **Last updated:** 03/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00285089 | — | NY |