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Organization

STEVEN R IZZO DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN R IZZO DDS (OWNER)
(718) 821-2545
Entity
Organization

Contact information

Practice address
6853 FRESH POND RD, RIDGEWOOD, NY 11385-5263
(718) 821-2545
(718) 418-2809
Mailing address
6853 FRESH POND RD, RIDGEWOOD, NY 11385-5263
(718) 821-2545
(718) 418-2809

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
042245
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01594536
NY
Enumeration date
10/30/2008
Last updated
11/03/2008
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