Iommazzo, Silvestro

Iommazzo, Silvestro is an sole proprietor health care provider with primary practice located at 176 -60 Union Turnpike Suite 120, Flushing NY 11366. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Iommazzo, Silvestro can be contacted via phone (718) 969-1700.

Contact Information

Primary practice address
176 -60 Union Turnpike Suite 120 Flushing NY 11366
Fax: (718) 969-1058
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 044312 New York

Profile Details

NPI number 1932182755
LBN Legal business name Iommazzo, Silvestro
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2005
Last updated May 9th, 2016 - 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 1932182755 NPPES
New York MEDICAID 01564254

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