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Individual

DR. MENDEL I. MARKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
39 BROADWAY, SUITE 2115, NEW YORK, NY 10006-3003
(212) 422-9229
Mailing address
512 WARWICK AVE, TEANECK, NJ 07666-2927
(201) 314-8890
(201) 837-7014

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
040690
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DI-18029
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013482967
NY
Enumeration date
12/17/2006
Last updated
07/08/2007
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