OrganizationActive
Greg J Panossian DDS PLLC
NPI 1962622332 · Oral and Maxillofacial Surgery Clinic/Center · Massapequa, NY
Provider details
- NPI number
- 1962622332
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Greg Panossian, Owner
- License
- 051170 (NY)
Practice location
5240 Merrick Rd Ste 1
Massapequa, NY 11758-6207
Phone: (516) 541-4767
Fax: (516) 541-4769
Mailing address
5240 Merrick Rd Ste 1
Massapequa, NY 11758-6207
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2008-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.