Individual
JEFF BUIZASTROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
615 BAY RIDGE PKWY # 3329, BROOKLYN, NY 11209-3329
(718) 745-4200
Mailing address
205 WICKER, IRVINE, CA 92618-1170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
107613
CA
1223E0200X
Endodontics
Primary
065014
NY
Other
Enumeration date
07/15/2021
Last updated
09/22/2025
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