Organization
DR MICHAEL E LESSIN
Active
Organization
DR MICHAEL E LESSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN CARABAJO (SECRETARY)
(718) 470-7130
Entity
Organization
Contact information
Practice address
27005 76TH AVE, DEPARTMENT OF DENTAL MEDICINE, NEW HYDE PARK, NY 11040-1402
(718) 470-7130
(718) 470-5423
Mailing address
27005 76TH AVE, DEPARTMENT OF DENTAL MEDICINE, NEW HYDE PARK, NY 11040-1402
(718) 470-7130
(718) 470-5423
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
053824-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02983897
—
NY
Enumeration date
02/29/2016
Last updated
02/29/2016
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