# EMPIRE ORAL AND MAXILLOFACIAL SURGERY PLLC

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

## Provider details

- **NPI number:** 1689210528
- **Authorized official:** DR. AMRITPAL S JOHAR DMD (OWNER)
- **Authorized official phone:** (518) 469-5859

## Contact information

- **Practice address:** 4 PALISADES DR STE 250, ALBANY, NY 12205-1448
- **Practice address phone:** (518) 240-3750
- **Practice address fax:** (518) 240-3759
- **Mailing address:** 14 QUAKER RIDGE RD, GLEN HEAD, NY 11545-3326

## 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:** 11/26/2019
- **Last updated:** 11/26/2019