Sheepshead Bay Oral Surgery | |
1918 Avenue U Brooklyn NY 11229-3906 | |
(718) 743-5400 | |
(718) 743-4125 |
Full Name | Sheepshead Bay Oral Surgery |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1918 Avenue U, Brooklyn, New York |
Authorized Official Name and Position | Boris Zats (PRESIDENT) |
Authorized Official Contact | 7187435400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sheepshead Bay Oral Surgery 1918 Avenue U Brooklyn NY 11229-3906 Ph: (718) 743-5400 | Sheepshead Bay Oral Surgery 1918 Avenue U Brooklyn NY 11229-3906 Ph: (718) 743-5400 |
NPI Number | 1336256338 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336256338 | NPI | - | NPPES |
02598878 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 049375 (New York) | Primary |
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