Organization
AMERICAN ORTHODONTIC ASSOCIATES OF WEST ISLIP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MICHAEL VITAGLIANO DMD (PRESIDENT)
(631) 661-3025
Entity
Organization
Contact information
Practice address
1145 MONTAUK HWY, WEST ISLIP, NY 11795-4909
(631) 661-3025
(631) 661-2095
Mailing address
1145 MONTAUK HWY, WEST ISLIP, NY 11795-4909
(631) 661-3025
(631) 661-2095
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
046229-1
NY
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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