| East River Oral And Maxillofacial Surgery | |
|
2306 24th Ave 1st Floor Astoria NY 11102-2834 | |
| (718) 440-3457 | |
| (718) 440-3458 |
| Full Name | East River Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2306 24th Ave, Astoria, New York |
| Authorized Official Name and Position | Eleftherios S Gavriil (OWNER) |
| Authorized Official Contact | 7184403457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East River Oral And Maxillofacial Surgery 2306 24th Ave 1st Floor Astoria NY 11102-2834 Ph: (718) 440-3457 | East River Oral And Maxillofacial Surgery 2306 24th Ave 1st Floor Astoria NY 11102-2834 Ph: (718) 440-3457 |
| NPI Number | 1497096168 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 03/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497096168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 053186 (New York) | Primary |
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