| 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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