institution
Maxillofacial Surgery On Park Pc
Specialist in New York, New York
NPI 1588082069

Maxillofacial Surgery On Park Pc is a Specialist based in New York, NY. Maxillofacial Surgery On Park Pc practices in New York, NY. The NPI Number for Maxillofacial Surgery On Park Pc is 1588082069 and holds a License No. 440777 (New York).

The current practice location address for Maxillofacial Surgery On Park Pc is 563 Park Ave, New York, NY and can be reached out via phone at 212-838-0090.

Location: 563 Park Ave, New York, NY, 10065-7379
institution
Provider Profile Details
NPI Number
1588082069
Provider Name
Maxillofacial Surgery On Park Pc
Credential
Provider Entity Type
Organization
Address
563 Park Ave, New York, NY, 10065-7379
Phone Number
212-838-0090
Fax Number
Provider Enumeration Date
04/02/2014
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
person
Provider Business Mailing Address Details
Address
563 Park Ave
City
State
Zip
10065-7379
Phone Number
212-838-0090
Fax Number
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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