# NEW ROCHELLE ORAL SURGERY

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

## Provider details

- **NPI number:** 1790149235
- **Authorized official:** MISS HELEN ANN PEREZ (ASSISTANT OFFICE MANAGER)
- **Authorized official phone:** (914) 472-5252

## Contact information

- **Practice address:** 77 QUAKER RIDGE RD, SUITE 212, NEW ROCHELLE, NY 10804-2808
- **Practice address phone:** (914) 235-1235
- **Practice address fax:** (914) 235-0794
- **Mailing address:** 77 QUAKER RIDGE RD, SUITE 212, NEW ROCHELLE, NY 10804-2808
- **Mailing address phone:** (914) 235-1235
- **Mailing address fax:** (914) 235-0794

## 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:** 04/11/2016
- **Last updated:** 04/11/2016