Individual provider · Type 1 NPI
Edward Ira Jutkowitz, M.D. P.C.
Periodontics · Roslyn Heights, NY
NPI number
1629163597
Active
Practice location
70 Glen Cove Rd, Suite 105
Roslyn Heights, NY 11577-1726
Fax (516) 621-9409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 39601 (NY) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
24 other providers at this address
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- Alison Berns Simon, MSW, LCSW, BCDClinical Social Worker Roslyn Heights, NY NPI 1205086543
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- Avemaria Alessandra La Monica, PhDMental Health Counselor Roslyn Heights, NY NPI 1457417719
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- Gayle R. Berg, PhDCounseling Psychologist Roslyn Heights, NY NPI 1598750796
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About NPI 1629163597
Edward Ira Jutkowitz, M.D. P.C.'s National Provider Identifier is 1629163597, issued on Oct 4, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Roslyn Heights, NY. The record was last updated on Jul 8, 2007.