Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East 63rd Street

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1811328297

East 63rd Street is an Oral and Maxillofacial Surgery (Dentist) in New York, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

250 E 63rd St
New York, NY 10065-7661
Phone: (212) 644-7009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 056681 (NY)

Record details

NPI number1811328297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Baruch Tetri — Dds · (212) 759-5363
Other names Advanced Oral Surgery Nyc
NPI enumeratedDecember 10, 2013
Last updated in NPPESDecember 10, 2013
Mailing address250 E 63rd St, New York, NY 10065-7661

Other providers in New York