| Manhattan Maxillofacial Surgery, Pllc | |
|
366 5th Ave Rm 709 New York NY 10001-2211 | |
| (212) 629-3223 | |
| (212) 629-3466 |
| Full Name | Manhattan Maxillofacial Surgery, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 366 5th Ave, New York, New York |
| Authorized Official Name and Position | David L Hirsch (OWNER) |
| Authorized Official Contact | 2126293223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manhattan Maxillofacial Surgery, Pllc 366 5th Ave Rm 709 New York NY 10001-2211 Ph: (212) 629-3223 | Manhattan Maxillofacial Surgery, Pllc 366 5th Ave Rm 709 New York NY 10001-2211 Ph: (212) 629-3223 |
| NPI Number | 1811108939 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 10/16/2012 |
| Medicare PECOS PAC ID | 2062505142 |
|---|---|
| Medicare Enrollment ID | O20070905000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811108939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 048346 (New York) | Primary |
| Provider Name | David L Hirsch |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1124038427 PECOS PAC ID: 8325141310 Enrollment ID: I20070831000687 |
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