Provider Demographics
NPI:1720482755
Name:DR. JEFFREY H. MARKOWTIZ, D.D.S., P.C.
Entity Type:Organization
Organization Name:DR. JEFFREY H. MARKOWTIZ, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-365-3535
Mailing Address - Street 1:1129 NORTHERN BLVD
Mailing Address - Street 2:SUITE #401
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3045
Mailing Address - Country:US
Mailing Address - Phone:516-365-3535
Mailing Address - Fax:516-365-3748
Practice Address - Street 1:1129 NORTHERN BLVD
Practice Address - Street 2:SUITE #401
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3045
Practice Address - Country:US
Practice Address - Phone:516-365-3535
Practice Address - Fax:516-365-3748
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. JEFFREY H. MARKOWTIZ, D.D.S., P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035133-11223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty