Provider Demographics
NPI:1548389349
Name:ALBANO, JOHN F (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:ALBANO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 E 55TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4716
Mailing Address - Country:US
Mailing Address - Phone:718-338-4177
Mailing Address - Fax:718-338-2762
Practice Address - Street 1:2001 E 55TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4716
Practice Address - Country:US
Practice Address - Phone:718-338-4177
Practice Address - Fax:718-338-2762
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0454071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice