Individual
DR. JAMES MASTRODOMENICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
258 E MEADOW AVE, EAST MEADOW, NY 11554-2456
(516) 222-1001
(516) 794-5902
Mailing address
258 E MEADOW AVE, EAST MEADOW, NY 11554-2456
(516) 222-1001
(516) 794-5902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043570
NY
Other
Enumeration date
10/13/2005
Last updated
07/08/2007
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