Colacicco, Louis

Colacicco, Louis is an sole proprietor health care provider with primary practice located at 425 Broadhollow Rd , Melville NY 11747-4713. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Colacicco, Louis can be contacted via phone (631) 752-1033.

Contact Information

Primary practice address
425 Broadhollow Rd Melville NY 11747-4713
Fax: (631) 752-1034
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 035856 New York

Profile Details

NPI number 1184702797
LBN Legal business name Colacicco, Louis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated May 8th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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