DR. Peter Ickowicz, DDS
NPI #1205994068 in Williston Park, New York
Provider Information
- NPI Number
- 1205994068
- Entity Type
- Individual
- Name
- DR. Peter Ickowicz, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 99 HILLSIDE AVE
- Address 2
- SUITE M
- City
- Williston Park
- State
- New York
- ZIP Code
- 11596-2333
- Phone
- (516) 746-7761
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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