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MERRICK ORAL SURGERY PLLC

Surgery Yellow Pages

Merrick, New York

Provider NPI: 1265520399

Organization Information:
Organization Name:  MERRICK ORAL SURGERY PLLC


Practice Location:
2116 MERRICK AVE SUITE 4008 MERRICK, NY 11566 US
Tel: 516-546-1444  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N204E00000XPhysicians
Oral & Maxillofacial Surgery
NY
Y1223P0106XDental Providers
Dentist
NY

Other Provider Identifiers:

IssuerNumberStateType
00389937NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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