| Gold Coast Oral And Maxillofacial Surgery Syosset Pllc | |
|
40 Underhill Blvd Syosset NY 11791-3490 | |
| (516) 744-6262 | |
| (516) 744-6262 |
| Full Name | Gold Coast Oral And Maxillofacial Surgery Syosset Pllc |
|---|---|
| Speciality | Clinic/center - Ambulatory Surgical |
| Location | 40 Underhill Blvd, Syosset, New York |
| Authorized Official Name and Position | Steve Yusupov (OWNER) |
| Authorized Official Contact | 5167493000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Coast Oral And Maxillofacial Surgery Syosset Pllc 55 Bryant Ave, Suite 2 Roslyn NY 11576 Ph: (516) 749-3000 | Gold Coast Oral And Maxillofacial Surgery Syosset Pllc 40 Underhill Blvd Syosset NY 11791-3490 Ph: (516) 744-6262 |
| NPI Number | 1922838432 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922838432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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