Provider Demographics
NPI:1790983534
Name:DI LUOZZO, ELIZABETH PACIA (DDS)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:PACIA
Last Name:DI LUOZZO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 COLONIAL AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-2120
Mailing Address - Country:US
Mailing Address - Phone:914-738-2195
Mailing Address - Fax:914-738-5789
Practice Address - Street 1:580 COLONIAL AVE
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-2120
Practice Address - Country:US
Practice Address - Phone:914-738-2195
Practice Address - Fax:914-738-5789
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT009791122300000X
NY0541031223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice