Professional Oral Surgery Alliance of Downstate New York Pllc

NPI #1144043092 in Scarsdale, New York

Provider Information

NPI Number: 1144043092
Entity Type: Organization
Organization Name: Professional Oral Surgery Alliance of Downstate New York Pllc
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Nov 7, 2024
Last Updated: Nov 7, 2024

Practice Location

Address: 1075 CENTRAL PARK AVE STE 207
City: Scarsdale
State: New York
ZIP Code: 10583-3250
Phone: (914) 472-5252

Authorized Official

Name: KAYLA GRAHAM
Title: CREDENTIALING
Phone: (724) 698-2474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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