Organization
MANHATTAN MAXILLOFACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L HIRSCH M.D., D.D.S. (OWNER)
(212) 629-3223
Entity
Organization
Contact information
Practice address
366 5TH AVE, RM 709, NEW YORK, NY 10001-2211
(212) 629-3223
(212) 629-3466
Mailing address
366 5TH AVE, RM 709, NEW YORK, NY 10001-2211
(212) 629-3223
(212) 629-3466
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
048346
NY
Other
Enumeration date
05/24/2007
Last updated
10/16/2012
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