Organization
LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO JOSEPH CAPUANO DDS (SENIOR PARTNER)
(631) 696-9752
Entity
Organization
Contact information
Practice address
132 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1372
(631) 473-6400
(631) 473-7297
Mailing address
132 TERRYVILLE RD, P.O. BOX 222, PORT JEFFERSON STATION, NY 11776-1372
(631) 473-6400
(631) 473-7297
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100027760
PTAN
NY
Enumeration date
07/22/2005
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us