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General NPI Number Information
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NPI Number | 1699782219
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Entity Type | Organization
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Legal Business Name | NEW YORK COMPREHENSIVE ORTHOGNATHIC AND MAXILLOFACIAL SURGERY PC
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 07/22/2019
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Provider Practice Location Address
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Address Line | 2001 MARCUS AVE SUITE N-10
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1011
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Country | US
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Telephone | 516-775-1818
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Fax | 516-775-0892
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Provider Business Mailing Address
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Address Line | 2001 MARCUS AVE SUITE N-10
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1011
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Country | US
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Telephone | 516-775-1818
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Fax | 516-775-0892
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Authorized Official
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Title or Position | PATIENT ACCOUNTS
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Name | BIBI MAJEED
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Credential | DO
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Telephone | 516-775-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 024890
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License Number State | NY
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