Oral And Implant Surgery Of Manhattan, Pllc

NPI 1063802627 - Oral & Maxillofacial Surgery - 204E00000X

NPI Details
NPI 1063802627
Enumeration Date 02/03/2015
Last Updated 02/03/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MICHELE SHOSHANA MICHELE
Position SOLE MEMBER
Phone (212) 752-8600
Fax (203) 661-0155
Practice Location
18 E 48TH ST
SUITE 1502
NEW YORK NY, 10017-1014, US
Phone (212) 752-8600
Fax (203) 661-0155
Business Location
455 W 23RD ST
APT. 17AB
NEW YORK NY, 10011-2148, US
Phone (212) 752-8600
Fax (203) 661-0155
Toxanomy
Taxonomy Code 204E00000X
License State New York
License Number 231685
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According to our database, Oral And Implant Surgery Of Manhattan, Pllc NPI is 1063802627, taxonomy code is 204E00000X and license number is 231685, license state is located at New York. Oral And Implant Surgery Of Manhattan, Pllc physically located at 18 E 48th St, New York NY, 10017-1014. NPI Number 1033115704 has the healthcare provider type.

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1063802627 NPI number is provided on an as is basis without warranty of any kind. 1063802627 is maintained by the National Plan & Provider Enumeration System. The contents of Oral And Implant Surgery Of Manhattan, Pllc are for informational purposes only.