MANHATTAN MAXILLOFACIAL SURGERY GROUP
Dentist at 54 St, New York, NY

License number
New York 048825-1
Category
Dentist
Type
Oral and Maxillofacial Surgery
Owner
Name: ANTONIO L DEL VALLE DMD, MD
Title: ORAL AND MAXILLOFACIAL SURGEON
Phone: (212) 245-5801
Address
Address
45 W 54Th St SUITE 1E, New York, NY 10019
National Provider ID: 1629233358
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MANHATTAN MAXILLOFACIAL SURGERY GROUP, PC

New York, NY

Industry:
Medical Doctor's Office
Doing business as:
Manhattan Maxillofacial Surgery Group
Registration:
Nov 16, 2007
Addresses:
350 W 42 St APT 15D, New York, NY 10036 (Physical)
45 W 54 St STE #7, New York, NY 10019 (Physical)
16 E 52 St, New York, NY 10022
State ID:
3594286
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Account Adminstratorss:
Shahn Samkoll, 45 W 54 St STE #7, New York, NY 10019 (Physical),Antonio L. Del Valle (Family And General Dentistry, Medical Doctor, Oral & Maxillofacial Surgeon, Principal),Donna M. Hoey Account Adminstrators, inactive

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