Individual
DR. EDMUND T ZYSIK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
67 E ORVIS ST, MASSENA, NY 13662-2007
(315) 764-1867
(315) 764-1093
Mailing address
67 E ORVIS ST, MASSENA, NY 13662-2007
(315) 764-1867
(315) 764-1093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034671
NY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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