Organization
SHEEPSHEAD BAY ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS ZATS DDS (PRESIDENT)
(718) 743-5400
Entity
Organization
Contact information
Practice address
1918 AVENUE U, BROOKLYN, NY 11229-3906
(718) 743-5400
(718) 743-4125
Mailing address
1918 AVENUE U, BROOKLYN, NY 11229-3906
(718) 743-5400
(718) 743-4125
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
049375
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02598878
—
NY
Enumeration date
08/24/2006
Last updated
08/22/2020
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