DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PETER ICKOWICZ, DDS

Active Sole Proprietor

DR. PETER ICKOWICZ, DDS is a General Dentistry healthcare provider located in WILLISTON PARK, New York. NPI 1205994068 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · WILLISTON PARK, NY

Registration Details

NPI Number
1205994068
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2006 (19.546792277852 yrs)
Last Updated
Jul 8, 2007
License
049075 (NY)
Sole Proprietor
Yes

Practice Information

Address
99 HILLSIDE AVE
SUITE M
WILLISTON PARK, NY, 115962333
Browse NY providers · Browse ZIP 11596
Phone
5167467761
Fax
5167467296
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in WILLISTON PARK, NY

Name Credential NPI
DR. JEFFREY S REIN DDS 1750384756
DR. JOHN HENRY GEAGER D.D.S. 1821083353
DR. NEAL SELTZER D.M.D. 1568443844
MARIA CRISTINA CRISTINA DAVID - CARRASCO DDS 1619952835
DAVID A KLEBANOW DMD 1013921816
DR. EDWARD JUSTIN GOTTLIEB D.D.S. 1780792366
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.