Jeanine Marie Pistilli D.D.S.

NPI 1629250675 - Dentist - 1223P0221X

NPI Details
NPI 1629250675
Gender Female
Enumeration Date 12/01/2007
Last Updated 03/23/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
62 LAKE AVE S
SUITE A
NESCONSET NY, 11767-1047, US
Phone (631) 360-7337
Fax
Business Location
62 LAKE AVE S
SUITE A
NESCONSET NY, 11767-1047, US
Phone (631) 360-7337
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State New York
License Number 051686
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According to our database, Dr. Jeanine Marie Pistilli D.D.S. NPI is 1629250675, taxonomy code is 1223P0221X and license number is 051686, license state is located at New York. Jeanine Marie Pistilli D.D.S. physically located at 62 Lake Ave S, Nesconset NY, 11767-1047. NPI Number Jeanine Marie Pistilli D.D.S. has the Individual type.

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1629250675 NPI number is provided on an as is basis without warranty of any kind. 1629250675 is maintained by the National Plan & Provider Enumeration System. The contents of Jeanine Marie Pistilli D.D.S. are for informational purposes only.