| NPI | 1962655209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN R IZZO Owner 718-821-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 042245) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-11-03 |