| Oral Surgeons On Call Pc | |
|
5240 Merrick Rd Massapequa NY 11758-6207 | |
| (484) 550-6618 | |
| Not Available |
| Full Name | Oral Surgeons On Call Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5240 Merrick Rd, Massapequa, New York |
| Authorized Official Name and Position | Antoine Panossian (PRESIDENT) |
| Authorized Official Contact | 4845506618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgeons On Call Pc 5240 Merrick Rd Massapequa NY 11758-6207 Ph: (484) 550-6618 | Oral Surgeons On Call Pc 5240 Merrick Rd Massapequa NY 11758-6207 Ph: (484) 550-6618 |
| NPI Number | 1316375454 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316375454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 052799-1 (New York) | Primary |
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