Provider Demographics
NPI:1770654121
Name:SYKORA-SYGNAROWICZ, JOLANTA (DDS)
Entity Type:Individual
Prefix:
First Name:JOLANTA
Middle Name:
Last Name:SYKORA-SYGNAROWICZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 S OYSTER BAY RD
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-6221
Mailing Address - Country:US
Mailing Address - Phone:516-496-0627
Mailing Address - Fax:
Practice Address - Street 1:311 S OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-6221
Practice Address - Country:US
Practice Address - Phone:516-496-0627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043085122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist