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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