Organization
ORAL SURGERY ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG PANOSSIAN DDS (OWNER/PARTNER)
(718) 967-3200
Entity
Organization
Contact information
Practice address
4300 HYLAN BLVD, SUITE 2G, STATEN ISLAND, NY 10312-6507
(718) 967-3200
Mailing address
4300 HYLAN BLVD, SUITE 2G, STATEN ISLAND, NY 10312-6507
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/30/2013
Last updated
01/15/2014
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