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Organization
CHAVKIN ORAL AND MAXILLOFACIAL SURGERY LLC
Active
Organization
CHAVKIN ORAL AND MAXILLOFACIAL SURGERY LLC
Active
Other names
All County Oral & Maxillofacial Surgery - New Hyde Park
Organization subpart
No
Provider details
NPI number
Authorized official
YANELIN GONZALEZ (MANAGER)
(516) 755-7960
Entity
Organization
Contact information
Practice address
414 JERICHO TPKE STE 2, NEW HYDE PARK, NY 11040-4510
(516) 755-7960
(516) 231-2136
Mailing address
414 JERICHO TPKE STE 2, NEW HYDE PARK, NY 11040-4510
(516) 755-7960
(516) 231-2136
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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