| Oral & Maxillofacial Surgery Associates, Pc | |
|
3304 Bell Blvd Bayside NY 11361-1603 | |
| (718) 428-8900 | |
| (718) 428-1266 |
| Full Name | Oral & Maxillofacial Surgery Associates, Pc |
|---|---|
| Speciality | Dentist |
| Location | 3304 Bell Blvd, Bayside, New York |
| Authorized Official Name and Position | Stanton S Goldstein (PRESIDENT) |
| Authorized Official Contact | 7184288900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Maxillofacial Surgery Associates, Pc 3304 Bell Blvd Bayside NY 11361-1603 Ph: (718) 428-8900 | Oral & Maxillofacial Surgery Associates, Pc 3304 Bell Blvd Bayside NY 11361-1603 Ph: (718) 428-8900 |
| NPI Number | 1598787624 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 01/30/2009 |
| Medicare PECOS PAC ID | 1254462682 |
|---|---|
| Medicare Enrollment ID | O20100629000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598787624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 032711 (New York) | Primary |
| Provider Name | Stanton S Goldstein |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1558408716 PECOS PAC ID: 3971634296 Enrollment ID: I20100701000121 |
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