| Perry M. Iacovetti Dds Pc | |
|
5231 Little Neck Pkwy Little Neck NY 11362-1836 | |
| (718) 224-0040 | |
| Not Available |
| Full Name | Perry M. Iacovetti Dds Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5231 Little Neck Pkwy, Little Neck, New York |
| Authorized Official Name and Position | Perry M. Iacovetti (PRESIDENT) |
| Authorized Official Contact | 7182240040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry M. Iacovetti Dds Pc 5231 Little Neck Pkwy Little Neck NY 11362-1836 Ph: (718) 224-0040 | Perry M. Iacovetti Dds Pc 5231 Little Neck Pkwy Little Neck NY 11362-1836 Ph: (718) 224-0040 |
| NPI Number | 1457508897 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 08/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457508897 | NPI | - | NPPES |
| 02768981 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 050882 (New York) | Primary |
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