Organization
PANOSSIAN ORAL SURGERY
Active
Organization
PANOSSIAN ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG PANOSSIAN (ORAL SURGEON)
(516) 541-4767
Entity
Organization
Contact information
Practice address
5240 MERRICK RD, SUITE 1, MASSAPEQUA, NY 11758-6207
(516) 541-4767
(516) 541-4769
Mailing address
5240 MERRICK RD, SUITE 1, MASSAPEQUA, NY 11758-6207
(516) 541-4767
(516) 541-4769
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
051170
NY
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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