Individual
LAUREN ARDIZZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
239 SMITHTOWN BLVD, NESCONSET, NY 11767-2418
(516) 941-6500
Mailing address
239 SMITHTOWN BLVD, NESCONSET, NY 11767-2418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064208
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/06/2023
Last updated
10/18/2024
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