Individual
DR. VINCENT JOSEPH IACONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
110 ROCKLAND HALL-PERIODONTICS, SCHOOL OF DENTAL MEDICINE-STONY BROOK UNIVERSITY, STONY BROOK, NY 11794-8703
(631) 632-8895
(631) 632-3113
Mailing address
110 ROCKLAND HALL-PERIODONTICS, SCHOOL OF DENTAL MEDICINE-STONY BROOK UNIVERSITY, STONY BROOK, NY 11794-8703
(631) 632-8895
(631) 632-3113
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
029866
NY
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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