Organization
WESTCHESTER PUTNAM ENDODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK MASTROMIHALIS DMD (PRESIDENT)
(914) 636-4343
Entity
Organization
Contact information
Practice address
101 S BEDFORD RD, STE.410, MOUNT KISCO, NY 10549-3439
(914) 636-4343
Mailing address
77 QUAKER RIDGE RD, STE.410, NEW ROCHELLE, NY 10804-2808
(914) 636-4343
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
028744
NY
Other
Enumeration date
03/12/2007
Last updated
01/25/2017
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