MEDICARE: DR. STEPHEN AKSEIZER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	027367	NY

General Provider Information

NPI Number	:	1043212152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN AKSEIZER D.D.S.

Provider Business Mailing Address
First Line	:	43 MARKET DR
Second Line	:
City	:	SYOSSET
State	:	NY
Zip	:	11791-6917
Country	:	US
Telephone Number	:	516-938-7066
Fax Number	:	516-908-4211

Provider Business Practice Location Address
First Line	:	709 S OYSTER BAY RD
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-3300
Country	:	US
Telephone Number	:	516-938-7066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	11/14/2018

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