Dr. Eugene P Pezzollo
Oral and Maxillofacial Surgeon
601 Franklin Ave St 110
Garden City
, New York 11530-5795
Dr. Eugene P Pezzollo
Oral and Maxillofacial Surgeon
601 Franklin Ave St 110
Garden City
, New York 11530-5795
(516) 741-4417
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Eugene P Pezzollo
- 601 Franklin Ave St 110
- Garden City, NY
- Zip : 11530-5795
- Fax : (516) 741-4417
- Phone : (516) 741-4415
Second Address
- Dr. Eugene P Pezzollo
- 601 Franklin Ave St 110
- Garden City, NY
- Zip : 11530-5795
- Fax : (516) 741-4417
- Phone : (516) 741-4415
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 035537 | NY |
National Provider Identifier
| NPI | 1063503670 |
|---|---|
| Provider Name | Dr. Eugene P Pezzollo |
| First Address | Garden City, NY 11530-5795 |
| Second Address | Garden City, NY 11530-5795 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 12/10/2010 |
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.