Individual
DEBORAH GAZZILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
160 COMMACK RD, COMMACK, NY 11725-3412
(631) 499-9393
Mailing address
22 COLONY LN, SYOSSET, NY 11791-4721
(516) 682-8013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046119-1
NY
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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