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1710199252
JOHN JOSEPH ELLWOOD
MERRICK, NY
NPI
1710199252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NY 046117)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
JOHN JOSEPH ELLWOOD DMD
222 MERRICK AVE
MERRICK, NY 11566-3143
Phone number: 516-379-4444
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Mailing Address
JOHN JOSEPH ELLWOOD DMD
8 FOX LN
COMMACK, NY 11725-2005
Phone number: 516-379-4444
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