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Contact Information

EYRA IXCOLIN, RDH
2000 GRAND AVE
BALDWIN, NY11510-2811
 Phone: 516-378-1968
 Fax: 516-608-9319
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Hygienist

124Q00000X
Indicates primary specialty

NPI Profile & details for EYRA IXCOLIN · (Female)

NPI Number 1780950154
Status Active
Credentials RDH (Registered Dental Hygienist)
Entity Individual
Enumeration date 03/29/2012
Last updated 03/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # P82633
  • NY Other P82633 TEMPORARY PERMIT AWAITING TO TAKE THE TEST FOR LICENSURE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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