Organization
SCHENECTADY ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA M DUVAL (OFFICE MANAGER)
(518) 372-2859
Entity
Organization
Contact information
Practice address
2141 EASTERN PKWY, SCHENECTADY, NY 12309-6347
(518) 372-2859
(518) 370-5983
Mailing address
2141 EASTERN PKWY, SCHENECTADY, NY 12309-6347
(518) 372-2859
(518) 370-5983
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
034224
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
044618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00550087
—
NY
05
—
01471952
—
NY
Enumeration date
10/09/2006
Last updated
07/02/2008
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