| Schenectady Oral And Maxillofacial Surgery Associates | |
|
2141 Eastern Pkwy Schenectady NY 12309-6347 | |
| (518) 372-2859 | |
| (518) 370-5983 |
| Full Name | Schenectady Oral And Maxillofacial Surgery Associates |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2141 Eastern Pkwy, Schenectady, New York |
| Authorized Official Name and Position | Theresa M Duval (OFFICE MANAGER) |
| Authorized Official Contact | 5183722859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Schenectady Oral And Maxillofacial Surgery Associates 2141 Eastern Pkwy Schenectady NY 12309-6347 Ph: (518) 372-2859 | Schenectady Oral And Maxillofacial Surgery Associates 2141 Eastern Pkwy Schenectady NY 12309-6347 Ph: (518) 372-2859 |
| NPI Number | 1124115373 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124115373 | NPI | - | NPPES |
| 01471952 | Medicaid | NY | |
| 00550087 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 034224 (New York) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 044618 (New York) | Secondary |
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