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Organization

SUFFOLK ORAL AND MAXILLOFACIAL AMBULATORY SURGERY FACILITY, P.C.

Active
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Organization

SUFFOLK ORAL AND MAXILLOFACIAL AMBULATORY SURGERY FACILITY, P.C.

Active
Other names
Suffolk Ambulatory Surgery Facility
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYNN PIERRI DDS, MS (CEO/PRESIDENT/ORAL SURGEON)
(631) 360-0266
Entity
Organization

Contact information

Practice address
400 TOWNLINE RD STE 135, HAUPPAUGE, NY 11788-2835
(631) 360-0266
(631) 360-0087
Mailing address
400 TOWNLINE RD STE 135, HAUPPAUGE, NY 11788-2835
(631) 360-0266
(631) 360-0087

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0373331
NY

Other

Enumeration date
11/05/2008
Last updated
11/05/2008
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