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DR. JASON JOHN PSILLAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
16 E 60TH ST STE 380, NEW YORK, NY 10022-1002
(212) 326-8520
Mailing address
100 RELDYES AVE, LEONIA, NJ 07605-1323
(201) 615-7185

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
046095
NY

Other

Enumeration date
03/14/2007
Last updated
07/08/2007
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