Individual
DR. ELIE MARZOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4913 VERNON BLVD, LONG ISLAND CITY, NY 11101-5725
(718) 392-4982
(718) 392-4022
Mailing address
4913 VERNON BLVD, LONG ISLAND CITY, NY 11101-5725
(718) 392-4982
(718) 392-4022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
038945
NY
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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