Individual
DR. JEANINE MARIE PISTILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
62 LAKE AVE S, SUITE A, NESCONSET, NY 11767-1047
(631) 360-7337
Mailing address
62 LAKE AVE S, SUITE A, NESCONSET, NY 11767-1047
(631) 360-7337
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
051686
NY
Other
Enumeration date
12/01/2007
Last updated
03/23/2011
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