American Orthodontic Associates Of West Islip,llc | |
1145 Montauk Hwy West Islip NY 11795-4909 | |
(631) 661-3025 | |
(631) 661-2095 |
Full Name | American Orthodontic Associates Of West Islip,llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1145 Montauk Hwy, West Islip, New York |
Authorized Official Name and Position | Joseph Michael Vitagliano (PRESIDENT) |
Authorized Official Contact | 6316613025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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American Orthodontic Associates Of West Islip,llc 1145 Montauk Hwy West Islip NY 11795-4909 Ph: (631) 661-3025 | American Orthodontic Associates Of West Islip,llc 1145 Montauk Hwy West Islip NY 11795-4909 Ph: (631) 661-3025 |
NPI Number | 1740438258 |
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Provider Enumeration Date | 09/09/2008 |
Last Update Date | 09/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740438258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 046229-1 (New York) | Primary |
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