| 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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