# GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOC.

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

## Provider details

- **NPI number:** 1730329301
- **Authorized official:** DR. STEVEN MARK BRODY D.D.S. (PRESIDENT)
- **Authorized official phone:** (914) 253-9088

## Contact information

- **Practice address:** 14 RYE RIDGE PLAZA, SUITE 234, RYE BROOK, NY 10573
- **Practice address phone:** (914) 253-9088
- **Practice address fax:** (914) 253-4925
- **Mailing address:** 14 RYE RIDGE PLAZA, SUITE 234, RYE BROOK, NY 10573
- **Mailing address phone:** (914) 253-9088
- **Mailing address fax:** (914) 253-4925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 03318 | NY | Yes |

## Other

- **Enumeration date:** 02/23/2009
- **Last updated:** 02/24/2010