| Drs. Witrock & Axelrod, Llp | |
|
5225 Nesconset Hwy Ste 40 Port Jefferson Station NY 11776-2060 | |
| (631) 928-2830 | |
| Not Available |
| Full Name | Drs. Witrock & Axelrod, Llp |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 5225 Nesconset Hwy Ste 40, Port Jefferson Station, New York |
| Authorized Official Name and Position | Andrew Witrock (PARTNER) |
| Authorized Official Contact | 6319282830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Witrock & Axelrod, Llp 5225 Nesconset Hwy Ste 40 Port Jefferson Station NY 11776-2060 Ph: (631) 928-2830 | Drs. Witrock & Axelrod, Llp 5225 Nesconset Hwy Ste 40 Port Jefferson Station NY 11776-2060 Ph: (631) 928-2830 |
| NPI Number | 1033231295 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 03/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033231295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 042137 (New York) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 040514 (New York) | Primary |
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