# MANHATTAN MAXILLOFACIAL SURGERY, PLLC

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

## Provider details

- **NPI number:** 1811108939
- **Authorized official:** DR. DAVID L HIRSCH M.D., D.D.S. (OWNER)
- **Authorized official phone:** (212) 629-3223

## Contact information

- **Practice address:** 366 5TH AVE, RM 709, NEW YORK, NY 10001-2211
- **Practice address phone:** (212) 629-3223
- **Practice address fax:** (212) 629-3466
- **Mailing address:** 366 5TH AVE, RM 709, NEW YORK, NY 10001-2211
- **Mailing address phone:** (212) 629-3223
- **Mailing address fax:** (212) 629-3466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 048346 | NY | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 10/16/2012