Illuzzi, Dennis Michael

Illuzzi, Dennis Michael is an sole proprietor health care provider with primary practice located at 61 Route 111 , Smithtown NY 11787-3712. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Illuzzi, Dennis Michael can be contacted via phone (631) 360-7733.

Contact Information

Primary practice address
61 Route 111 Smithtown NY 11787-3712
Phone: (631) 360-7733
Fax: (631) 360-7786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004192 New York

Profile Details

NPI number 1154397594
LBN Legal business name Illuzzi, Dennis Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2006
Last updated Apr 25th, 2012 - about 12 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 1154397594 NPPES
New York MEDICAID 00994972

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