# EASTERN LONG ISLAND ORAL SURGERY

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

## Provider details

- **NPI number:** 1669247458
- **Authorized official:** DR. STEPHEN SOKOLOFF DDS (PRESIDENT)
- **Authorized official phone:** (631) 878-9300

## Contact information

- **Practice address:** 760-10 MONTAUK HWY, CENTER MORICHES, NY 11934
- **Practice address phone:** (631) 878-9300
- **Mailing address:** 760-10 MONTAUK HWY, CENTER MORICHES, NY 11934
- **Mailing address phone:** (631) 878-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2023
- **Last updated:** 11/21/2023