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Organization

LONG ISLAND ORAL SURGERY ASSOCIATES

Active
Other names
Long Island Center for Oral and Maxillofacial Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY ALAN GOLDBERG D.D.S. (PRESIDENT)
(516) 921-2880
Entity
Organization

Contact information

Practice address
99 COLD SPRING ROAD, SUITE 3, SYOSSET, NY 11791
(516) 921-2880
(516) 921-2889
Mailing address
99 COLD SPRING ROAD, SUITE 3, SYOSSET, NY 11791
(516) 921-2880
(516) 921-2889

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
24574
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DOW772
MEDICARE GROUP NUMBER
Enumeration date
08/14/2007
Last updated
05/04/2017
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