NPI 1225220247

Long Island Oral Surgery Associates, PC.

Organisation Oral & Maxillofacial Surgery (D.M.D.) Westbury, NY

Practice location

Address: 959 Brush Hollow Rd Suite 101, Westbury, NY 11590-1778
Phone: (516) 333-5900
Fax: (516) 333-5868
Mailing address: 175 Jericho Tpke Suite 305, Syosset, NY 11791-4532

Authorised official

Name: Jeffrey Goldberg
Title: Pres
Phone: (516) 333-5900

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

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Registry record

NPI: 1225220247
Entity type: Organization
NPI issued: 14 Aug 2007
Record last updated: 17 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.