Dr. Charles A Ullo
Prosthodontist
Stony Brook College
Stony Brook
, New York 11794-0001
Dr. Charles A Ullo
Prosthodontist
Stony Brook College
Stony Brook
, New York 11794-0001
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Charles A Ullo
- 60 Dyke Rd
- Setauket, NY
- Zip : 11733-3028
- Phone :
Second Address
- Dr. Charles A Ullo
- Stony Brook College
- Stony Brook, NY
- Zip : 11794-0001
- Phone : (631) 632-8932
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 031452 | NY |
National Provider Identifier
| NPI | 1194851204 |
|---|---|
| Provider Name | Dr. Charles A Ullo |
| First Address | Setauket, NY 11733-3028 |
| Second Address | Stony Brook, NY 11794-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.