MICHAEL JOHN DESIVO

EAST ISLIP, NY
NPI1225448855
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  057983-1)
Enumeration Date2014-05-05
Last Update Date2017-04-11
Business Address
Dr. MICHAEL JOHN DESIVO D.D.S.
228 EAST MAIN ST
EAST ISLIP, NY 11730
Phone number: 631-983-6281
Mailing Address
Dr. MICHAEL JOHN DESIVO D.D.S.
228 EAST MAIN ST
EAST ISLIP, NY 11730
Phone number: 631-983-6281
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