DR. Peter Ickowicz, DDS is a general practice dentist in Williston Park, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Peter Ickowicz, DDS NPI is 1205994068. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
99 HILLSIDE AVE
SUITE M
WILLISTON PARK, NY
ZIP 11596-333
Phone: (516) 746-7761
Fax: (516) 746-7296
The NPI 1205994068 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 12/5/2006 and was last updated on 7/8/2007.