institution
Oral Reconstructive Jaw Surgery Pc
Specialist in New York, New York
NPI 1356733224

Oral Reconstructive Jaw Surgery Pc is a Specialist based in New York, NY. Oral Reconstructive Jaw Surgery Pc practices in New York, NY. The NPI Number for Oral Reconstructive Jaw Surgery Pc is 1356733224 and holds a License No. 440777 (New York).

The current practice location address for Oral Reconstructive Jaw Surgery Pc is 563 Park Ave, New York, NY and can be reached out via phone at 212-838-0090 and via fax at 212-935-1296.

Location: 563 Park Ave, New York, NY, 10065-7379
institution
Provider Profile Details
NPI Number
1356733224
Provider Name
Oral Reconstructive Jaw Surgery Pc
Credential
Provider Entity Type
Organization
Address
563 Park Ave, New York, NY, 10065-7379
Phone Number
212-838-0090
Fax Number
212-935-1296
Provider Enumeration Date
03/02/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
440777 01 NY THE JOINT COMMISSION
institution
Provider Business Practice Location Address Details
Address
563 Park Ave
City
State
Zip
10065-7379
Phone Number
212-838-0090
Fax Number
212-935-1296
person
Provider Business Mailing Address Details
Address
563 Park Ave
City
State
Zip
10065-7379
Phone Number
212-838-0090
Fax Number
212-935-1296
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
440777 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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