Organization
DRS. WITROCK & AXELROD, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW WITROCK (PARTNER)
(631) 928-2830
Entity
Organization
Contact information
Practice address
5225 NESCONSET HWY STE 40, PORT JEFFERSON STATION, NY 11776-2060
(631) 928-2830
Mailing address
5225 NESCONSET HWY STE 40, PORT JEFFERSON STATION, NY 11776-2060
(631) 928-2830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
042137
NY
1223P0700X
Prosthodontics
Primary
040514
NY
Other
Enumeration date
04/06/2007
Last updated
03/08/2013
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