| Long Island Orthodontic Associates, P.c. | |
|
100 Clark Ave Massapequa NY 11758-4950 | |
| (516) 541-9396 | |
| (516) 541-9510 |
| Full Name | Long Island Orthodontic Associates, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 100 Clark Ave, Massapequa, New York |
| Authorized Official Name and Position | Mary Buatti Romeo (PRESIDENT) |
| Authorized Official Contact | 5165419396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Orthodontic Associates, P.c. 100 Clark Ave Massapequa NY 11758-4950 Ph: (516) 541-9396 | Long Island Orthodontic Associates, P.c. 100 Clark Ave Massapequa NY 11758-4950 Ph: (516) 541-9396 |
| NPI Number | 1417087156 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417087156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 037943 (New York) | Primary |
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