Individual
DR. JOHN PAUL ICKOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1450 BELLMORE AVE, NORTH BELLMORE, NY 11710-5540
(516) 785-2064
(516) 785-9413
Mailing address
1450 BELLMORE AVE, NORTH BELLMORE, NY 11710-5540
(516) 785-2064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052110
NY
Other
Enumeration date
04/01/2008
Last updated
01/31/2014
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