Individual
DR. MICHAEL ANDREW IOANNOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2171 JERICHO TPKE STE 145, COMMACK, NY 11725-2900
(631) 486-6364
Mailing address
35 SPRINGWOOD PATH, SYOSSET, NY 11791-1304
(917) 568-4569
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
050315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02348718
—
NY
Enumeration date
11/02/2005
Last updated
10/20/2017
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