Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 053803 | NY |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 053803 | NY |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 22DI02252000 | NJ |
NPI | 1093976292 |
---|---|
Provider Name | Dr. Angelo Ostuni |
First Address | New York, NY 10019-3211 |
Second Address | New York, NY 10019-3211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 13/10/2015 |