| Gary D. Kitzis, Dmd Pllc | |
|
156 Plainview Rd. Woodbury NY 11797-2807 | |
| (516) 692-7766 | |
| (631) 692-6129 |
| Full Name | Gary D. Kitzis, Dmd Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 156 Plainview Rd., Woodbury, New York |
| Authorized Official Name and Position | Gary D Kitzis (OWNER) |
| Authorized Official Contact | 5166927766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary D. Kitzis, Dmd Pllc 156 Plainview Rd. Woodbury NY 11797-2807 Ph: (516) 692-7766 | Gary D. Kitzis, Dmd Pllc 156 Plainview Rd. Woodbury NY 11797-2807 Ph: (516) 692-7766 |
| NPI Number | 1871732461 |
|---|---|
| Provider Enumeration Date | 02/05/2009 |
| Last Update Date | 02/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871732461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 036994-1 (New York) | Primary |
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