South Shore Head & Neck Surgery Md., Pc.

NPI #1013268333 in Lawrence, New York

Provider Information

NPI Number: 1013268333
Entity Type: Organization
Organization Name: South Shore Head & Neck Surgery Md., Pc.
Primary Specialty: Surgery
Enumeration Date: Sep 26, 2012
Last Updated: Sep 26, 2012

Practice Location

Address: 135 ROCKAWAY TURNPIKE
Address 2: SUITE 106
City: Lawrence
State: New York
ZIP Code: 11559-1023
Phone: (516) 239-3225

Authorized Official

Name: DR. MOO YOUNG JUN, M.D.
Title: OWNER
Phone: (516) 764-3732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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