Individual
CARLO IZZO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
144 LAKEVIEW AVE, LYNBROOK, NY 11563-1755
(516) 887-1199
(516) 887-1199
Mailing address
144 LAKEVIEW AVE, LYNBROOK, NY 11563-1755
(516) 887-1199
(516) 887-4043
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0452341
NY
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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