| Long Island Oral & Maxillofacial Surgery, Pc | |
|
134 Mineola Blvd. 3 Floor Mineola NY 11501 | |
| (516) 294-9696 | |
| (516) 294-3531 |
| Full Name | Long Island Oral & Maxillofacial Surgery, Pc |
|---|---|
| Speciality | Dentist |
| Location | 134 Mineola Blvd., Mineola, New York |
| Authorized Official Name and Position | Debra Mcquillan (MANAGER) |
| Authorized Official Contact | 5162949696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Oral & Maxillofacial Surgery, Pc 134 Mineola Blvd. 3 Floor Mineola NY 11501 Ph: (516) 294-9696 | Long Island Oral & Maxillofacial Surgery, Pc 134 Mineola Blvd. 3 Floor Mineola NY 11501 Ph: (516) 294-9696 |
| NPI Number | 1912080417 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 01/11/2008 |
| Medicare PECOS PAC ID | 2668362674 |
|---|---|
| Medicare Enrollment ID | O20040316000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912080417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (New York) | Primary |
| Provider Name | Alex V Meneshian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396706412 PECOS PAC ID: 7012977721 Enrollment ID: I20041018000317 |
| Provider Name | Victor L Nannini |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1750341368 PECOS PAC ID: 9436168754 Enrollment ID: I20060414000118 |
| Provider Name | Ralph Cangiano |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518927102 PECOS PAC ID: 8325057599 Enrollment ID: I20060417000423 |
| Provider Name | Scott A Fauvell |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265641732 PECOS PAC ID: 5294893210 Enrollment ID: I20081021000114 |
| Provider Name | Lawrence Becker |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235190430 PECOS PAC ID: 2365574936 Enrollment ID: I20100716000464 |
| Provider Name | James G Choi |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1043638158 PECOS PAC ID: 5193143154 Enrollment ID: I20200908003377 |
| Provider Name | Luke C Soletic |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1164879581 PECOS PAC ID: 0749571560 Enrollment ID: I20220929000730 |
Idi Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 Willis Ave, Mineola, NY 11501 Phone: 516-487-6453 | |
Dustin R. Solis Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 192 Jericho Tpke, Mineola, NY 11501 Phone: 516-307-1050 Fax: 516-307-1052 | |
Winthrop Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Old Country Rd, Suite 460, Mineola, NY 11501 Phone: 516-663-2752 Fax: 516-663-9373 | |
Andrew Sackserdds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Mineola Blvd, Mineola, NY 11501 Phone: 516-248-6018 | |
Winthrop University Center For Family Dental Medicine Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Old Country Rd, Suite 460, Mineola, NY 11501 Phone: 516-663-2752 Fax: 516-663-9373 | |
Eugene Simons Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Willis Ave, Mineola, NY 11501 Phone: 516-746-5050 Fax: 516-877-0311 | |
Pm Dental Care Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Jericho Tpke, Mineola, NY 11501 Phone: 516-746-1111 Fax: 516-746-1114 |