| Chavkin Oral And Maxillofacial Surgery Llc | |
|
414 Jericho Tpke Ste 2 New Hyde Park NY 11040-4510 | |
| (516) 755-7960 | |
| (516) 231-2136 |
| Full Name | Chavkin Oral And Maxillofacial Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 414 Jericho Tpke Ste 2, New Hyde Park, New York |
| Authorized Official Name and Position | Yanelin Gonzalez (MANAGER) |
| Authorized Official Contact | 5167557960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chavkin Oral And Maxillofacial Surgery Llc 414 Jericho Tpke Ste 2 New Hyde Park NY 11040-4510 Ph: (516) 755-7960 | Chavkin Oral And Maxillofacial Surgery Llc 414 Jericho Tpke Ste 2 New Hyde Park NY 11040-4510 Ph: (516) 755-7960 |
| NPI Number | 1700420429 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 11/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700420429 | NPI | - | NPPES |
| 1417354457 | Other | NY | NPI |
| 1093754467 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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