Organization
SUFFOLK ORAL AND MAXILLOFACIAL AMBULATORY SURGERY FACILITY, P.C.
Active
Other names
Suffolk Ambulatory Surgery Facility
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN PIERRI DDS, MS (CEO/PRESIDENT/ORAL SURGEON)
(631) 360-0266
Entity
Organization
Contact information
Practice address
400 TOWNLINE RD STE 135, HAUPPAUGE, NY 11788-2835
(631) 360-0266
(631) 360-0087
Mailing address
400 TOWNLINE RD STE 135, HAUPPAUGE, NY 11788-2835
(631) 360-0266
(631) 360-0087
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0373331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275506008
NPI
NY
Enumeration date
11/05/2008
Last updated
11/05/2008
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