Whalio Doctors

NPI 1235271362

Robert Anthony Domozych, DMD

Practitioner Dentist East Islip, NY

Practice location

Address
127 West Main Street, East Islip, NY 11730
Phone
(631) 277-4848
Fax
(631) 277-4849
Mailing address
28 Leeside Drive, Great River, NY 11739

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 039363 (NY)

Registry record

NPI
1235271362
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Feb 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.