Organization
MAXILLOFACIAL AMBULATORY SURGERY CENTER LLC
Active
Organization
MAXILLOFACIAL AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN PIERRI DDS (OWNER)
(631) 360-0266
Entity
Organization
Contact information
Practice address
400 TOWNLINE RD STE 140, HAUPPAUGE, NY 11788-2841
(631) 406-9191
(631) 406-9195
Mailing address
400 TOWNLINE RD STE 140, HAUPPAUGE, NY 11788-2841
(631) 406-9191
(631) 406-9195
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
11/06/2025
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