MAXILLOFACIAL SURGERY OF NY PC NPI 1275071318

NPI Information

NPI: 1275071318
Provider Name: MAXILLOFACIAL SURGERY OF NY PC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
563 PARK AVE
NEW YORK, NY
ZIP 10065
Phone: (212) 838-0090
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MAXILLOFACIAL SURGERY OF NY PC is an ambulatory surgical clinic center in New York, NY. MAXILLOFACIAL SURGERY OF NY PC NPI is 1275071318. The provider is registered as an organization entity type.

The provider's business location address is:

563 PARK AVE
NEW YORK, NY
ZIP 10065-379
Phone: (212) 838-0090

The provider's authorized official is Gregory Chotkowski .
The authorized official title is Medical Director and has the following contact phone number (212) 838-0090.

The enumeration date for this NPI number is 2/9/2017 and was last updated on 2/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	CERT# 440777	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	440777	OTHER	NEW YORK	THE JOINT COMMISSION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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