| Long Island Oral Surgeons | |
|
930 N Broadway Massapequa NY 11758-2394 | |
| (516) 541-2400 | |
| Not Available |
| Full Name | Long Island Oral Surgeons |
|---|---|
| Speciality | Dentist |
| Location | 930 N Broadway, Massapequa, New York |
| Authorized Official Name and Position | Joanna Murphy (INSURANCE MANAGER) |
| Authorized Official Contact | 5165412400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Oral Surgeons 930 N Broadway Massapequa NY 11758-2394 Ph: (516) 541-2400 | Long Island Oral Surgeons 930 N Broadway Massapequa NY 11758-2394 Ph: (516) 541-2400 |
| NPI Number | 1811141492 |
|---|---|
| Provider Enumeration Date | 11/10/2008 |
| Last Update Date | 04/09/2024 |
| Medicare PECOS PAC ID | 3375690779 |
|---|---|
| Medicare Enrollment ID | O20090421000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811141492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Paul W Mazzei |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821106683 PECOS PAC ID: 0547318826 Enrollment ID: I20090526000406 |
| Provider Name | Elliot B Siegel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1376651166 PECOS PAC ID: 9638227911 Enrollment ID: I20090526000490 |
| Provider Name | Thomas A Cerbone |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992813711 PECOS PAC ID: 1456409739 Enrollment ID: I20090526000501 |
| Provider Name | Justin Ryan Glazer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912156241 PECOS PAC ID: 8325237811 Enrollment ID: I20110114000206 |
| Provider Name | Abdul B Karim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518268739 PECOS PAC ID: 4284908120 Enrollment ID: I20170915002822 |
| Provider Name | Eduard Munarov |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992134027 PECOS PAC ID: 5991079865 Enrollment ID: I20170918000394 |
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