# LONG ISLAND ORAL SURGEONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Siegel Cerbone & Mazzei
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811141492
- **Authorized official:** JOANNA MURPHY (INSURANCE MANAGER)
- **Authorized official phone:** (516) 541-2400

## Contact information

- **Practice address:** 930 N BROADWAY, MASSAPEQUA, NY 11758-2394
- **Practice address phone:** (516) 541-2400
- **Mailing address:** 930 N BROADWAY, MASSAPEQUA, NY 11758-2394
- **Mailing address phone:** (516) 541-2400
- **Mailing address fax:** (516) 541-9102

## Taxonomy

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

## Other

- **Enumeration date:** 11/10/2008
- **Last updated:** 04/09/2024