| 515oms | |
|
515 Madison Avenue, 28th Floor Suite B New York NY 10022 | |
| (212) 765-5001 | |
| (212) 813-0808 |
| Full Name | 515oms |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 515 Madison Avenue, 28th Floor, New York, New York |
| Authorized Official Name and Position | Andrei Mark (OWNER) |
| Authorized Official Contact | 2127655030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 515oms 515 Madison Avenue, 28th Floor Suite B New York NY 10022 Ph: (212) 765-5030 | 515oms 515 Madison Avenue, 28th Floor Suite B New York NY 10022 Ph: (212) 765-5001 |
| NPI Number | 1730910704 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730910704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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