Organization
SOUTH ISLAND PERIODONTICS AND IMPLANTOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARKUS L WEITZ DDS (DENTIST)
(516) 295-9566
Entity
Organization
Contact information
Practice address
657 CENTRAL AVENUE, CEDARHURST, NY 11516
(516) 295-9566
(516) 706-7061
Mailing address
657 CENTRAL AVENUE, CEDARHURST, NY 11516
(516) 295-9566
(516) 706-7061
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
041914
NY
Other
Enumeration date
03/19/2007
Last updated
10/03/2007
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