Organization
YONKERS ORAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN ANN PEREZ (ASSISTANT OFFICE MANAGER)
(914) 472-5252
Entity
Organization
Contact information
Practice address
73 MARKET STREET, SUITE 377, YONKERS, NY 10710
(914) 779-5606
(914) 968-2474
Mailing address
73 MARKET STREET, SUITE 377, YONKERS, NY 10710
(914) 779-5606
(914) 968-2474
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00678024 ETIN AJ19
—
NY
Enumeration date
12/31/2015
Last updated
12/14/2016
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