Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI # | 1699782219 |
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| LBN Legal business name | NEW YORK COMPREHENSIVE ORTHOGNATHIC AND MAXILLOFACIAL SURGERY PC | ||||||||||||||||||||||||||||||||
| Authorized official | BIBI MAJEED - (PATIENT ACCOUNTS) | ||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||
| Enumeration date | 08/03/2006 | ||||||||||||||||||||||||||||||||
| Last updated | 07/22/2019 - About 7 years ago | ||||||||||||||||||||||||||||||||
| Identifiers |
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