JASON ROBERT DI BLASI

MASSAPEQUA, NY
NPI1265507305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NY  053299)
Enumeration Date2006-11-22
Last Update Date2007-07-08
Business Address
Dr. JASON ROBERT DI BLASI DMD
690 BROADWAY SUITE 1
MASSAPEQUA, NY 11758
Phone number: 516-795-5769
Mailing Address
Dr. JASON ROBERT DI BLASI DMD
1 GARFIELD AVENUE
FARMINGDALE, NY 11735
Phone number: 516-385-5150