Organization
LONG ISLAND DENTAL IMPLANT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT KOSCHITZKI DDS (PARTNER)
(631) 744-5700
Entity
Organization
Contact information
Practice address
648 ROUTE 25A, ROCKY POINT, NY 11778-8761
(631) 744-5700
Mailing address
648 ROUTE 25A, ROCKY POINT, NY 11778-8761
(631) 744-5700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055084
NY
Other
Enumeration date
09/23/2014
Last updated
05/17/2024
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