Individual
DR. JONATHAN ROBERT ZYSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
55 E ORVIS ST, MASSENA, NY 13662-2036
(315) 705-6554
Mailing address
55 E ORVIS ST, MASSENA, NY 13662-2036
(315) 705-6554
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50055064
NY
Other
Enumeration date
08/10/2010
Last updated
04/22/2015
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