Individual
DR. SALVATORE ROSARIO INDELICATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
932 WOODROW RD, STATEN ISLAND, NY 10312-2224
(718) 967-5213
Mailing address
932 WOODROW RD, STATEN ISLAND, NY 10312-2224
(718) 948-9989
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
042672
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI01736200
NJ
Other
Enumeration date
05/13/2007
Last updated
07/08/2007
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