| South Island Periodontics And Implantology Pllc | |
|
657 Central Avenue Cedarhurst NY 11516 | |
| (516) 295-9566 | |
| (516) 706-7061 |
| Full Name | South Island Periodontics And Implantology Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 657 Central Avenue, Cedarhurst, New York |
| Authorized Official Name and Position | Markus L Weitz (DENTIST) |
| Authorized Official Contact | 5162959566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Island Periodontics And Implantology Pllc 657 Central Avenue Cedarhurst NY 11516 Ph: (516) 295-9566 | South Island Periodontics And Implantology Pllc 657 Central Avenue Cedarhurst NY 11516 Ph: (516) 295-9566 |
| NPI Number | 1679697429 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 10/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679697429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 041914 (New York) | Primary |
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