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General NPI Number Information
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NPI Number | 1720482755
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Entity Type | Organization
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Legal Business Name | DR. JEFFREY H. MARKOWTIZ, D.D.S., P.C.
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 1129 NORTHERN BLVD SUITE #401
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City | MANHASSET
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State | NY
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Zip | 11030-3045
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Country | US
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Telephone | 516-365-3535
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Fax | 516-365-3748
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Provider Business Mailing Address
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Address Line | 1129 NORTHERN BLVD SUITE #401
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City | MANHASSET
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State | NY
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Zip | 11030-3045
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Country | US
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Telephone | 516-365-3535
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Fax | 516-365-3748
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. VANESSA MARTINEZ
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Credential |
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Telephone | 516-365-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 035133-1
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License Number State | NY
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