Vincent M. Mazurek, Dds, Pc | |
823 W Jericho Tpke Suite 1b Smithtown NY 11787-3216 | |
(631) 543-0550 | |
Not Available |
Full Name | Vincent M. Mazurek, Dds, Pc |
---|---|
Speciality | Dentist |
Location | 823 W Jericho Tpke, Smithtown, New York |
Authorized Official Name and Position | Vincent M. Mazurek (PRESIDENT) |
Authorized Official Contact | 6315430550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vincent M. Mazurek, Dds, Pc 823 W Jericho Tpke Suite 1b Smithtown NY 11787-3216 Ph: (631) 543-0550 | Vincent M. Mazurek, Dds, Pc 823 W Jericho Tpke Suite 1b Smithtown NY 11787-3216 Ph: (631) 543-0550 |
NPI Number | 1871877365 |
---|---|
Provider Enumeration Date | 10/04/2011 |
Last Update Date | 10/04/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871877365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 035995-1 (New York) | Primary |
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