Individual
DR. JOHN MICHAEL IACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
45 ORCHARD ST, MANHASSET, NY 11030-1928
(516) 627-0362
Mailing address
169 EAKINS RD, MANHASSET, NY 11030-2635
(516) 365-8810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
024958
NY
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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