Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI # | 1124327135 |
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| LBN Legal business name | NEW YORK ORAL MAXILLOFACIAL AND IMPLANT SURGERY P.C. | ||||
| Authorized official | ANDREW HOROWITZ - (OWNER/PARTNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/17/2011 | ||||
| Last updated | 03/28/2016 - About 10 years ago | ||||
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