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Organization
NYU HOSPITALS CENTER
Active
Organization
NYU HOSPITALS CENTER
Active
Other names
NYU Langone Hospital Long Island Center for Family Dental Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH AMBROSECCHIA (DIRECTOR)
(646) 501-9352
Entity
Organization
Contact information
Practice address
200 OLD COUNTRY RD STE 460, MINEOLA, NY 11501-4293
(516) 663-2752
(516) 663-9373
Mailing address
14 WALL ST FL 9, NEW YORK, NY 10005-2178
(646) 501-3224
(212) 263-4539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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