Provider Demographics
NPI:1780362731
Name:VOZZO, CHRISTINA M (RDH)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:VOZZO
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 WALRAY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2448
Mailing Address - Country:US
Mailing Address - Phone:201-704-4933
Mailing Address - Fax:
Practice Address - Street 1:2376 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-2801
Practice Address - Country:US
Practice Address - Phone:212-686-3686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032265124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist