Individual
DR. CALOGERO VASSALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2500 NESCONSET HWY, BUILDING 19-B, STONY BROOK, NY 11790-2555
(631) 265-3656
Mailing address
2500 NESCONSET HWY, BUILDING 19-B, STONY BROOK, NY 11790-2555
(631) 265-3656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050636
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161750869
TAX ID#
NY
Enumeration date
03/09/2007
Last updated
02/23/2009
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