| Advanced Oral Surgery Nyc | |
|
250 E 63rd St New York NY 10065-7661 | |
| (212) 644-7009 | |
| Not Available |
| Full Name | Advanced Oral Surgery Nyc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 250 E 63rd St, New York, New York |
| Authorized Official Name and Position | Baruch Tetri (DDS) |
| Authorized Official Contact | 2127595363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Oral Surgery Nyc 250 E 63rd St New York NY 10065-7661 Ph: (212) 644-7009 | Advanced Oral Surgery Nyc 250 E 63rd St New York NY 10065-7661 Ph: (212) 644-7009 |
| NPI Number | 1811328297 |
|---|---|
| Provider Enumeration Date | 12/10/2013 |
| Last Update Date | 12/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811328297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 056681 (New York) | Primary |
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