Individual
DR. MICHAEL T MAIORINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
193 BROADWAY, AMITYVILLE, NY 11701-2761
(631) 598-2940
Mailing address
193 BROADWAY, AMITYVILLE, NY 11701-2761
(631) 598-2940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050399
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02439729
—
NY
Enumeration date
09/25/2006
Last updated
06/29/2016
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