DR. Michael John Desivo, D.D.S.
NPI #1225448855 in East Islip, New York
Provider Information
- NPI Number
- 1225448855
- Entity Type
- Individual
- Name
- DR. Michael John Desivo, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 5, 2014
- Last Updated
- Apr 11, 2017
Practice Location
- Address
- 228 EAST MAIN ST
- City
- East Islip
- State
- New York
- ZIP Code
- 11730
- Phone
- (631) 983-6281
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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