Individual
DR. ANDREW WITROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
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
1223P0700X
Prosthodontics
Primary
040514
NY
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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