Individual
DR. ANDREW VINCENT MASTRONARDI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
367 OLD TOWN RD, PORT JEFFERSON STATION, NY 11776-2256
(631) 473-8292
(631) 473-3896
Mailing address
367 OLD TOWN RD, PORT JEFFERSON STATION, NY 11776-2256
(631) 473-8292
(631) 473-3896
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043605
NY
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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