Organization
GREG J PANOSSIAN DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG J PANOSSIAN DDS (OWNER)
(516) 541-4767
Entity
Organization
Contact information
Practice address
5240 MERRICK RD STE 1, MASSAPEQUA, NY 11758-6207
(516) 541-4767
(516) 541-4769
Mailing address
5240 MERRICK RD STE 1, MASSAPEQUA, NY 11758-6207
(516) 541-4767
(516) 541-4769
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
051170
NY
Other
Enumeration date
04/26/2007
Last updated
05/28/2008
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