Iacovetti, Perry M.

Iacovetti, Perry M. is an sole proprietor health care provider with primary practice located at 5231 Little Neck Pkwy , Little Neck NY 11362-1836. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Iacovetti, Perry M. can be contacted via phone (718) 224-0040.

Contact Information

Primary practice address
5231 Little Neck Pkwy Little Neck NY 11362-1836
Fax: (718) 224-8853
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 050882 New York

Profile Details

NPI number 1144333295
LBN Legal business name Iacovetti, Perry M.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Apr 27th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144333295 NPPES
New York MEDICAID 02768981

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