| Kings Highway Oral & Maxillofacial Surgery P.c. | |
|
1610 E 19th St Brooklyn NY 11229-1302 | |
| (718) 576-6999 | |
| (718) 576-6996 |
| Full Name | Kings Highway Oral & Maxillofacial Surgery P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1610 E 19th St, Brooklyn, New York |
| Authorized Official Name and Position | Saar Amrani (CEO) |
| Authorized Official Contact | 7185766999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Highway Oral & Maxillofacial Surgery P.c. 1610 E 19th St Brooklyn NY 11229-1302 Ph: (718) 576-6999 | Kings Highway Oral & Maxillofacial Surgery P.c. 1610 E 19th St Brooklyn NY 11229-1302 Ph: (718) 576-6999 |
| NPI Number | 1164708665 |
|---|---|
| Provider Enumeration Date | 10/27/2011 |
| Last Update Date | 10/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164708665 | NPI | - | NPPES |
| 03172658 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 054408 (New York) | Primary |
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