Dr. Calogero Vassallo, D.D.S
Dentist, General Practice in Stony Brook, NY. Individual provider (NPI-1).
NPI number1700918596
StatusActive
Last updated in NPPESFeb 23, 2009
Details
- NPI
- 1700918596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Calogero Vassallo
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 9, 2007
- Last updated
- Feb 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 050636 | NY | Yes |
Practice location
2500 Nesconset HwyBuilding 19-B
Stony Brook, NY 11790-2555
Phone 631-265-3656
Mailing address
2500 Nesconset HwyBuilding 19-B
Stony Brook, NY 11790-2555
Phone 631-265-3656
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