Progressive Oral Surgery Of Long Island | |
601 Franklin Ave Suite 110 Garden City NY 11530 | |
(516) 741-4415 | |
(516) 741-4417 |
Full Name | Progressive Oral Surgery Of Long Island |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 601 Franklin Ave, Garden City, New York |
Authorized Official Name and Position | Jennifer L Davila (OFFICE MANAGER) |
Authorized Official Contact | 5167414415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Progressive Oral Surgery Of Long Island 23 Bond Street Great Neck NY 11021 Ph: (516) 482-0329 | Progressive Oral Surgery Of Long Island 601 Franklin Ave Suite 110 Garden City NY 11530 Ph: (516) 741-4415 |
NPI Number | 1508195975 |
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Provider Enumeration Date | 12/15/2009 |
Last Update Date | 01/13/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508195975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 048692 (New York) | Primary |
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