# NEW YORK MAXILLOFACIAL SURGERY, P.C.

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

## Provider details

- **NPI number:** 1912048844
- **Authorized official:** DR. JAY NEUGARTEN D.D.S., M.D. (ORAL SURGEON)
- **Authorized official phone:** (212) 308-9200

## Contact information

- **Practice address:** 110 E 55TH ST, 15TH FLOOR, NEW YORK, NY 10022-4540
- **Practice address phone:** (212) 308-9200
- **Practice address fax:** (212) 308-9212
- **Mailing address:** 110 E 55TH ST, 15TH FLOOR, NEW YORK, NY 10022-4540
- **Mailing address phone:** (212) 308-9200
- **Mailing address fax:** (212) 308-9212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 218337 | NY | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/01/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00501157 | — | NY |
| 05 | — | 01335919 | — | NY |
| 05 | — | 02238062 | — | NY |