Chavkin Oral And Maxillofacial Surgery Llc | |
414 Jericho Tpke Ste 2 New Hyde Park NY 11040-4510 | |
(516) 755-7960 | |
(516) 231-2136 |
Full Name | Chavkin Oral And Maxillofacial Surgery Llc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 414 Jericho Tpke Ste 2, New Hyde Park, New York |
Authorized Official Name and Position | Yanelin Gonzalez (MANAGER) |
Authorized Official Contact | 5167557960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chavkin Oral And Maxillofacial Surgery Llc 414 Jericho Tpke Ste 2 New Hyde Park NY 11040-4510 Ph: (516) 755-7960 | Chavkin Oral And Maxillofacial Surgery Llc 414 Jericho Tpke Ste 2 New Hyde Park NY 11040-4510 Ph: (516) 755-7960 |
NPI Number | 1700420429 |
---|---|
Provider Enumeration Date | 11/06/2019 |
Last Update Date | 11/06/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700420429 | NPI | - | NPPES |
1417354457 | Other | NY | NPI |
1093754467 | Other | NY | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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