# SIOMS FOREST HILLS MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SIOMS FOREST HILLS MANAGEMENT LLC
- **Other names:** SIOMS Woodbury
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528699873
- **Legal business name:** SIOMS FOREST HILLS MANAGEMENT LLC
- **Authorized official:** STEVE YUSUPOV MD, DDS (MANAGING PARTNER)
- **Authorized official phone:** (516) 677-9777

## Contact information

- **Practice address:** 167 FROEHLICH FARM BLVD, WOODBURY, NY 11797-2906
- **Practice address phone:** (516) 677-9777
- **Mailing address:** 167 FROEHLICH FARM BLVD, WOODBURY, NY 11797-2906

## 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:** 01/27/2020
- **Last updated:** 01/27/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03766474 | — | NY |