| Panossian Oral Surgery | |
|
5240 Merrick Rd Suite 1 Massapequa NY 11758-6207 | |
| (516) 541-4767 | |
| (516) 541-4769 |
| Full Name | Panossian Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5240 Merrick Rd, Massapequa, New York |
| Authorized Official Name and Position | Greg Panossian (ORAL SURGEON) |
| Authorized Official Contact | 5165414767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panossian Oral Surgery 5240 Merrick Rd Suite 1 Massapequa NY 11758-6207 Ph: (516) 541-4767 | Panossian Oral Surgery 5240 Merrick Rd Suite 1 Massapequa NY 11758-6207 Ph: (516) 541-4767 |
| NPI Number | 1407217870 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 03/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407217870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 051170 (New York) | Primary |
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