Organization
NEW YORK MAXILLOFACIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY NEUGARTEN D.D.S., M.D. (ORAL SURGEON)
(212) 308-9200
Entity
Organization
Contact information
Practice address
110 E 55TH ST, 15TH FLOOR, NEW YORK, NY 10022-4540
(212) 308-9200
(212) 308-9212
Mailing address
110 E 55TH ST, 15TH FLOOR, NEW YORK, NY 10022-4540
(212) 308-9200
(212) 308-9212
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
218337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00501157
—
NY
05
—
01335919
—
NY
05
—
02238062
—
NY
Enumeration date
02/12/2007
Last updated
08/01/2007
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