Search › New York › 152W00000X
Jiri Mladek, OD
NPI 1134293194 · on the registry since 2006
Practice
- Address
- 311 Barnum Ave
Port Jefferson, NY 11777 - Phone
- (631) 928-6400
- Fax
- (631) 928-1353
- Organisation at this address
- Alfred J. Cossari, M.D., P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York