Organization
515OMS LLC
Active
Other names
515OMS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREI MARK DDS (OWNER)
(212) 765-5030
Entity
Organization
Contact information
Practice address
515 MADISON AVENUE, 28TH FLOOR, SUITE B, NEW YORK, NY 10022
(212) 765-5001
(212) 813-0808
Mailing address
515 MADISON AVENUE, 28TH FLOOR, SUITE B, NEW YORK, NY 10022
(212) 765-5030
(212) 813-0808
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
10/08/2024
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