Individual
ARISTOTLE JOHN LYSSIKATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 319-4339
Mailing address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 319-4339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052126
NY
1223G0001X
General Practice Dentistry
22D102291100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109525
—
NJ
Enumeration date
10/02/2006
Last updated
10/02/2015
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