Organization
GREATER NIAGARA ORAL SURGERY, PLLC
Active
Organization
GREATER NIAGARA ORAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANIL BALKRISHNA NIGALYE DDS, MD (PRESIDENT)
(716) 830-9935
Entity
Organization
Contact information
Practice address
552 3RD ST, NIAGARA FALLS, NY 14301-1072
(716) 282-0285
Mailing address
9744 COBBLESTONE DR, CLARENCE, NY 14031-2443
(716) 830-9935
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
049563
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02890600
—
NY
Enumeration date
03/17/2009
Last updated
03/17/2009
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