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NPI Code Detail

MEDICARE: DR. ROBERT OZER D.M.D.

MEDICARE: DR. ROBERT OZER D.M.D.
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
11223G0001XGeneral Practice Dentistry033856NY

General Provider Information

NPI Number : 1598887663
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT OZER D.M.D.
Provider Business Mailing Address
First Line : 1800 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3902
Country : US
Telephone Number : 718-761-1800
Fax Number : 718-761-6945
Provider Business Practice Location Address
First Line : 1800 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3902
Country : US
Telephone Number : 718-761-1800
Fax Number : 718-761-6945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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