OrganizationActive
Advanced Implant and Oral Surgery P.C.
NPI 1699055285 · Oral and Maxillofacial Surgery Clinic/Center · Huntington Station, NY
Provider details
- NPI number
- 1699055285
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Yuriy Yusupov, President
- License
- 052623 (NY)
Practice location
17 Walt Whitman Rd Ste 3
Huntington Station, NY 11746-3610
Phone: (631) 923-1101
Mailing address
17 Walt Whitman Rd Ste 3
Huntington Station, NY 11746-3610
Registry dates
- Enumerated
- 2011-08-26
- Last updated
- 2011-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.