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Organization
NEW YORK MAXILLOFACIAL SURGERY, P.C.
Active
Organization
NEW YORK MAXILLOFACIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY NEUGARTEN D.D.S., M.D. (ORAL SURGEON)
(212) 308-9200
Entity
Organization
Contact information
Practice address
110 E 55TH ST, 15TH FLOOR, NEW YORK, NY 10022-4540
(212) 308-9200
(212) 308-9212
Mailing address
110 E 55TH ST, 15TH FLOOR, NEW YORK, NY 10022-4540
(212) 308-9200
(212) 308-9212
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
218337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00501157
—
NY
05
—
01335919
—
NY
05
—
02238062
—
NY
Enumeration date
02/12/2007
Last updated
08/01/2007
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