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Contact Information

FACIAL AND ORAL SURGERY SPECIALISTS PLLC
55 W RED OAK LN
WHITE PLAINS, NY10604-3608
 Phone: 914-500-8985
 Fax: 914-500-8986
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FACIAL AND ORAL SURGERY SPECIALISTS PLLC

NPI Number 1831762467
LBN Legal business name FACIAL AND ORAL SURGERY SPECIALISTS PLLC
Authorized official TAREK KORBAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2021
Last updated 07/21/2021 - About 5 years ago
Identifiers
NY Medicaid 03648886
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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