# STEVEN R IZZO DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962655209
- **Authorized official:** DR. STEVEN R IZZO DDS (OWNER)
- **Authorized official phone:** (718) 821-2545

## Contact information

- **Practice address:** 6853 FRESH POND RD, RIDGEWOOD, NY 11385-5263
- **Practice address phone:** (718) 821-2545
- **Practice address fax:** (718) 418-2809
- **Mailing address:** 6853 FRESH POND RD, RIDGEWOOD, NY 11385-5263
- **Mailing address phone:** (718) 821-2545
- **Mailing address fax:** (718) 418-2809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 042245 | NY | Yes |

## Other

- **Enumeration date:** 10/30/2008
- **Last updated:** 11/03/2008