Organization · Type 2 NPI

Oral Reconstructive Jaw Surgery PC

Specialist · New York, NY

NPI number 1356733224 Active

Practice location

563 Park Ave
New York, NY 10065-7379

Call (212) 838-0090 Map

Fax (212) 935-1296

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X440777 (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 1356733224

Oral Reconstructive Jaw Surgery PC's National Provider Identifier is 1356733224, issued on Mar 2, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Mar 2, 2015.