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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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