| Paramount Oral Surgery | |
|
201 Edward Curry Ave Ste 101 Staten Island NY 10314-7102 | |
| (718) 494-2053 | |
| Not Available |
| Full Name | Paramount Oral Surgery |
|---|---|
| Speciality | Dentist |
| Location | 201 Edward Curry Ave Ste 101, Staten Island, New York |
| Authorized Official Name and Position | Stuard A Katz (CO-OWNER) |
| Authorized Official Contact | 7184942053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paramount Oral Surgery 201 Edward Curry Ave Ste 101 Staten Island NY 10314-7102 Ph: (718) 494-2053 | Paramount Oral Surgery 201 Edward Curry Ave Ste 101 Staten Island NY 10314-7102 Ph: (718) 494-2053 |
| NPI Number | 1104338946 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 11/02/2017 |
| Medicare PECOS PAC ID | 3274958400 |
|---|---|
| Medicare Enrollment ID | O20200805002956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104338946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 040797-1 (New York) | Primary |
| Provider Name | Stuart A Katz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750377933 PECOS PAC ID: 5395794507 Enrollment ID: I20200805002937 |
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