Provider Demographics
NPI:1811136922
Name:STEPHEN AKSEIZER DDS PC
Entity type:Organization
Organization Name:STEPHEN AKSEIZER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST - PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKSEIZER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-938-7066
Mailing Address - Street 1:43 MARKET DR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-6917
Mailing Address - Country:US
Mailing Address - Phone:516-938-7066
Mailing Address - Fax:516-908-4211
Practice Address - Street 1:43 MARKET DR
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-6917
Practice Address - Country:US
Practice Address - Phone:516-938-7066
Practice Address - Fax:516-908-4211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0273671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7296220001Medicare NSC