Individual
DR. JAMES PEZZOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
601 FRANKLIN AVE STE 110, GARDEN CITY, NY 11530-5760
(516) 741-4415
Mailing address
601 FRANKLIN AVE STE 110, GARDEN CITY, NY 11530-5760
(516) 274-9979
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
061142
NY
Other
Enumeration date
01/25/2016
Last updated
04/24/2024
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