| Suffolk Oral And Maxillofacial Ambulatory Surgery Facility, P.c. | |
|
400 Townline Rd Ste 135 Hauppauge NY 11788-2835 | |
| (631) 360-0266 | |
| (631) 360-0087 |
| Full Name | Suffolk Oral And Maxillofacial Ambulatory Surgery Facility, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 400 Townline Rd Ste 135, Hauppauge, New York |
| Authorized Official Name and Position | Lynn Pierri (CEO/PRESIDENT/ORAL SURGEON) |
| Authorized Official Contact | 6313600266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk Oral And Maxillofacial Ambulatory Surgery Facility, P.c. 400 Townline Rd Ste 135 Hauppauge NY 11788-2835 Ph: (631) 360-0266 | Suffolk Oral And Maxillofacial Ambulatory Surgery Facility, P.c. 400 Townline Rd Ste 135 Hauppauge NY 11788-2835 Ph: (631) 360-0266 |
| NPI Number | 1487808333 |
|---|---|
| Provider Enumeration Date | 11/05/2008 |
| Last Update Date | 11/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487808333 | NPI | - | NPPES |
| 1275506008 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0373331 (New York) | Primary |
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