Mastronardi, Andrew Vincent
Mastronardi, Andrew Vincent is an individual health care provider with primary practice located at 367 Old Town Rd , Port Jefferson Station NY 11776-2256. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mastronardi, Andrew Vincent can be contacted via phone (631) 473-8292.Contact Information
Primary practice address
367 Old Town Rd
Port Jefferson Station NY 11776-2256
Phone: (631) 473-8292
Fax: (631) 473-3896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 043605 | New York |
Profile Details
| NPI number | 1851363014 |
|---|---|
| LBN Legal business name | Mastronardi, Andrew Vincent |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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