Organization
ORAL SURGERY OF RIVERDALE, P.C.
Active
Organization
ORAL SURGERY OF RIVERDALE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN ANN PEREZ (ASSISTANT OFFICE MANAGER)
(914) 472-5252
Entity
Organization
Contact information
Practice address
3333 HENRY HUDSON PKWY, SUITE 9, BRONX, NY 10463-3224
(718) 796-4550
(718) 548-1951
Mailing address
3333 HENRY HUDSON PKWY, SUITE 9, BRONX, NY 10463-3224
(718) 796-4550
(718) 548-1951
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
053531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03159991
—
NY
Enumeration date
12/11/2015
Last updated
12/11/2015
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