ORAL RECONSTRUCTIVE JAW SURGERY PC is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ORAL RECONSTRUCTIVE JAW SURGERY PC NPI is 1356733224. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
563 PARK AVE
NEW YORK, NY
ZIP 10065-379
Phone: (212) 838-0090
Fax: (212) 935-1296
The provider's authorized official is Gregory Charles Chotkowki .
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 3/2/2015 and was last updated on 3/2/2015.