Eugene P Pezzollo D.M.D.

NPI 1063503670 - Dentist - 1223S0112X

NPI Details
NPI 1063503670
Gender Male
Enumeration Date 09/27/2006
Last Updated 10/12/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
601 FRANKLIN AVE
ST 110
GARDEN CITY NY, 11530-5795, US
Phone (516) 741-4415
Fax (516) 741-4417
Business Location
601 FRANKLIN AVE
ST 110
GARDEN CITY NY, 11530-5795, US
Phone (516) 741-4415
Fax (516) 741-4417
Toxanomy
Taxonomy Code 1223S0112X
License State New York
License Number 035537
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According to our database, Dr. Eugene P Pezzollo D.M.D. NPI is 1063503670, taxonomy code is 1223S0112X and license number is 035537, license state is located at New York. Eugene P Pezzollo D.M.D. physically located at 601 Franklin Ave, Garden City NY, 11530-5795. NPI Number Eugene P Pezzollo D.M.D. has the Individual type.

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1063503670 NPI number is provided on an as is basis without warranty of any kind. 1063503670 is maintained by the National Plan & Provider Enumeration System. The contents of Eugene P Pezzollo D.M.D. are for informational purposes only.