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MANHATTAN MAXILLOFACIAL SURGERY GROUP NPI 1629233358


NPI Information

NPI: 1629233358
Provider Name: MANHATTAN MAXILLOFACIAL SURGERY GROUP
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
45 W 54TH ST
SUITE 1E
NEW YORK, NY
ZIP 10019
Phone: (212) 245-5801
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MANHATTAN MAXILLOFACIAL SURGERY GROUP is an oral and maxillofacial surgery dentist in New York, NY. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MANHATTAN MAXILLOFACIAL SURGERY GROUP NPI is 1629233358. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

45 W 54TH ST
SUITE 1E
NEW YORK, NY
ZIP 10019-404
Phone: (212) 245-5801
Fax: (212) 977-9486

The provider's authorized official is Antonio L Del Valle .
The authorized official title is Oral And Maxillofacial Surgeon and has the following contact phone number (212) 245-5801.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 7/22/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery048825-1NEW YORKYes

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: 11/14/2023

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