# LONG ISLAND ORAL SURGERY ASSOCIATES, PC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Long Island Center for Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225220247
- **Authorized official:** DR. JEFFREY GOLDBERG DDS (PRES)
- **Authorized official phone:** (516) 333-5900

## Contact information

- **Practice address:** 959 BRUSH HOLLOW RD, SUITE 101, WESTBURY, NY 11590-1778
- **Practice address phone:** (516) 333-5900
- **Practice address fax:** (516) 333-5868
- **Mailing address:** 175 JERICHO TPKE, SUITE 305, SYOSSET, NY 11791-4532
- **Mailing address phone:** (516) 921-2880
- **Mailing address fax:** (516) 921-2889

## 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:** 08/14/2007
- **Last updated:** 04/17/2008