| Greater Niagara Oral Surgery, Pllc | |
|
552 3rd St Niagara Falls NY 14301-1072 | |
| (716) 282-0285 | |
| Not Available |
| Full Name | Greater Niagara Oral Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 552 3rd St, Niagara Falls, New York |
| Authorized Official Name and Position | Sanil Balkrishna Nigalye (PRESIDENT) |
| Authorized Official Contact | 7168309935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Niagara Oral Surgery, Pllc 9744 Cobblestone Dr Clarence NY 14031-2443 Ph: (716) 830-9935 | Greater Niagara Oral Surgery, Pllc 552 3rd St Niagara Falls NY 14301-1072 Ph: (716) 282-0285 |
| NPI Number | 1972744167 |
|---|---|
| Provider Enumeration Date | 03/17/2009 |
| Last Update Date | 03/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972744167 | NPI | - | NPPES |
| 02890600 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 049563 (New York) | Primary |
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