Individual
MRS. EWA ZYSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
268 W MERRICK RD, FREEPORT, NY 11520-3347
(516) 378-3200
Mailing address
350 BETHPAGE RD, COPIAGUE, NY 11726-2302
(917) 577-4016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053398
NY
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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