Long Island Oral Surgery Associates

NPI #1164614178 in Syosset, New York

Provider Information

NPI Number: 1164614178
Entity Type: Organization
Organization Name: Long Island Oral Surgery Associates
Primary Specialty: Oral & Maxillofacial Surgery
Enumeration Date: Aug 14, 2007
Last Updated: May 4, 2017

Practice Location

Address: 99 COLD SPRING ROAD
Address 2: SUITE 3
City: Syosset
State: New York
ZIP Code: 11791
Phone: (516) 921-2880

Authorized Official

Name: DR. JEFFREY ALAN GOLDBERG, D.D.S.
Title: PRESIDENT
Phone: (516) 921-2880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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