Illuzzi, Dennis Michael
Illuzzi, Dennis Michael is an sole proprietor health care provider with primary practice located at 61 Route 111 , Smithtown NY 11787-3712. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Illuzzi, Dennis Michael can be contacted via phone (631) 360-7733.Contact Information
Primary practice address
61 Route 111
Smithtown NY 11787-3712
Phone: (631) 360-7733
Fax: (631) 360-7786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N004192 | New York |
Profile Details
| NPI number | 1154397594 |
|---|---|
| LBN Legal business name | Illuzzi, Dennis Michael |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2006 |
| Last updated | Apr 25th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154397594 | NPPES |
| New York | MEDICAID | 00994972 |
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