Gold Coast Oral and Maxillofacial Surgery Syosset Pllc

NPI #1922838432 in Syosset, New York

Provider Information

NPI Number: 1922838432
Entity Type: Organization
Organization Name: Gold Coast Oral and Maxillofacial Surgery Syosset Pllc
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: Aug 7, 2024
Last Updated: Aug 7, 2024

Practice Location

Address: 40 UNDERHILL BLVD
City: Syosset
State: New York
ZIP Code: 11791-3490
Phone: (516) 744-6262

Authorized Official

Name: DR. STEVE YUSUPOV, DDS, MD
Title: OWNER
Phone: (516) 749-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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