Peter M. Blauzvern, D.d.s.,p.c. | |
366 N Broadway Jericho NY 11753-2025 | |
(516) 681-5800 | |
Not Available |
Full Name | Peter M. Blauzvern, D.d.s.,p.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 366 N Broadway, Jericho, New York |
Authorized Official Name and Position | Peter M. Blauzvern (OWNER) |
Authorized Official Contact | 5166815800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peter M. Blauzvern, D.d.s.,p.c. 366 N Broadway Jericho NY 11753-2025 Ph: (516) 681-5800 | Peter M. Blauzvern, D.d.s.,p.c. 366 N Broadway Jericho NY 11753-2025 Ph: (516) 681-5800 |
NPI Number | 1639246945 |
---|---|
Provider Enumeration Date | 11/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639246945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 37688 (New York) | Primary |
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