Organization · Type 2 NPI

Oral Facial Surgery On Park PC

Specialist · New York, NY

NPI number 1124499066 Active

Practice location

563 Park Ave
New York, NY 10065-7379

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XCERT# 440777 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1124499066

Oral Facial Surgery On Park PC's National Provider Identifier is 1124499066, issued on Oct 19, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Oct 19, 2015.