Ira Pisetzner DDS,PC

NPI 1033355755 - Dentist - 1223G0001X

NPI Details
NPI 1033355755
Gender Male
Enumeration Date 12/30/2008
Last Updated 12/30/2008
Entity Type Individual
Active Over 7 years ago
Practice Location
774 MANOR RD
SUITE 206
STATEN ISLAND NY, 10314-7038, US
Phone (718) 761-2223
Fax
Business Location
774 MANOR RD
SUITE 206
STATEN ISLAND NY, 10314-7038, US
Phone (718) 761-2223
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 024150
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According to our database, Dr. Ira Pisetzner DDS,PC NPI is 1033355755, taxonomy code is 1223G0001X and license number is 024150, license state is located at New York. Ira Pisetzner DDS,PC physically located at 774 Manor Rd, Staten Island NY, 10314-7038. NPI Number Ira Pisetzner DDS,PC has the Individual type.

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1033355755 NPI number is provided on an as is basis without warranty of any kind. 1033355755 is maintained by the National Plan & Provider Enumeration System. The contents of Ira Pisetzner DDS,PC are for informational purposes only.