Individual
DR. GARY D KITZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
156 PLAINVIEW RD, WOODBURY, NY 11797-2807
(516) 692-7766
(631) 692-6129
Mailing address
156 PLAINVIEW RD, WOODBURY, NY 11797-2807
(516) 692-7766
(631) 692-6129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36994
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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