Individual
GREG J. PANOSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5240 MERRICK RD, MASSAPEQUA, NY 11758-6207
(516) 541-4767
(516) 541-4769
Mailing address
5240 MERRICK RD, MASSAPEQUA, NY 11758-6207
(516) 541-4767
(516) 541-4769
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
051170
NY
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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