| Mario Tuchman Oral & Maxillofacial Surgery Pplc | |
|
353 Lexington Ave Suite #700 New York NY 10016-0941 | |
| (646) 874-4004 | |
| Not Available |
| Full Name | Mario Tuchman Oral & Maxillofacial Surgery Pplc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 353 Lexington Ave, New York, New York |
| Authorized Official Name and Position | Mario Tuchman (PRESIDENT) |
| Authorized Official Contact | 6468744004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mario Tuchman Oral & Maxillofacial Surgery Pplc 200 E 71st St 11-j New York NY 10021-5137 Ph: (310) 749-8131 | Mario Tuchman Oral & Maxillofacial Surgery Pplc 353 Lexington Ave Suite #700 New York NY 10016-0941 Ph: (646) 874-4004 |
| NPI Number | 1487926200 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 03/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487926200 | NPI | - | NPPES |
| 03144070 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 054229 (New York) | Primary |
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