Eugene Francis Iovino, D.D.S.
Individual provider Active NPI General Practice Dentistry · Brookhaven, NY
NPI 1124042981 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124042981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30852 (NY)
- Practice address
- 2761 Montauk Hwy
Brookhaven, NY 11719-9596 - Phone
- (631) 286-1413
- Fax
- (631) 286-1437
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30852 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30852 | NY | Yes |
Addresses
Primary practice location
2761 Montauk Hwy
Brookhaven, NY 11719-9596
Mailing address
2761 Montauk Hwy
Brookhaven, NY 11719-9596
Phone (631) 286-1413
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All providers in Brookhaven, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.