National Provider Identifier Database

SIOMS FOREST HILLS MANAGEMENT LLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

SIOMS FOREST HILLS MANAGEMENT LLC
7009 AUSTIN ST STE 201
FOREST HILLS, NY11375-1012
Phone: 718-261-2790
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for SIOMS FOREST HILLS MANAGEMENT LLC

NPI Number 1124659479
Legal business name
LBN
SIOMS FOREST HILLS MANAGEMENT LLC
Authorized official STEVE YUSUPOV - (MANAGING PARTNER)
Entity Organization
Organization subpart Yes
Enumeration date 01/27/2020
Last updated 01/27/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 03766474

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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