Individual
DR. LOUIS CARMINE DEFEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
97 NEW DORP LN, STATEN ISLAND, NY 10306-2359
(718) 351-8080
Mailing address
97 NEW DORP LN, STATEN ISLAND, NY 10306-2359
(718) 351-8080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
039163
NY
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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