Individual
DR. ANDREW PACINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2175 WANTAGH AVE, WANTAGH, NY 11793-3972
(516) 804-5955
Mailing address
2175 WANTAGH AVE, WANTAGH, NY 11793-3972
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
051278
NY
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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