Provider Demographics
NPI:1598977118
Name:GETZ, IVIS M (DMD)
Entity Type:Individual
Prefix:DR
First Name:IVIS
Middle Name:M
Last Name:GETZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 LOCKWOOD AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4915
Mailing Address - Country:US
Mailing Address - Phone:914-355-2265
Mailing Address - Fax:914-355-2264
Practice Address - Street 1:140 LOCKWOOD AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4915
Practice Address - Country:US
Practice Address - Phone:914-355-2265
Practice Address - Fax:914-355-2264
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0531571223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry