Organization
NASSAU ORAL & MAXILLOFACIAL SURGERY, PLLC
Active
Other names
Central Park South Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
NGOZI ETUFUGH (OWNER)
(212) 371-2930
Entity
Organization
Contact information
Practice address
30 CENTRAL PARK S RM 4D, NEW YORK, NY 10019-1628
(212) 371-2930
Mailing address
30 CENTRAL PARK S RM 4D, NEW YORK, NY 10019-1628
(212) 371-2930
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2021
Last updated
05/09/2021
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