MEDICARE: DR. JOHN TOPPINO DDS

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	122300000X	Dentist	035366	NY

General Provider Information

NPI Number	:	1558596882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN TOPPINO DDS

Provider Business Mailing Address
First Line	:	231 HUNTER AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-3445
Country	:	US
Telephone Number	:	860-912-3467
Fax Number	:

Provider Business Practice Location Address
First Line	:	2375 RICHMOND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3918
Country	:	US
Telephone Number	:	718-351-0888
Fax Number	:

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

Provider Enumeration Date	:	05/15/2009
Last Update Date	:	05/15/2009

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