Organization
LAWRENCE M ITSKOWITCH DDS,PC
Active
Other names
Roosevely Island Family and Cosmetic Dentis
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE M ITSKOWITCH DDS (PRESIDENT)
(212) 752-8722
Entity
Organization
Contact information
Practice address
501 MAIN ST, A, ROOSEVELT ISLAND, NY 10044
(212) 752-8722
(212) 759-5507
Mailing address
501A MAIN STREET, ROOSEVELT ISLAND, NY 10044
(212) 752-8722
(212) 759-5507
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
27566
NY
Other
Enumeration date
04/27/2007
Last updated
08/22/2020
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