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Contact Information

TOOTHTIMEDENTALSTUDIOPC
414 JERICHO TPKE
SUIT #2
NEW HYDE PARK, NY11040-4510
 Phone: 516-519-8080
 Fax: 516-519-8082
 Website:
Indicates primary specialty

NPI Profile & details for TOOTHTIMEDENTALSTUDIOPC · (Female)

NPI # 1144568601
Status Active
Credentials
Entity Individual
Enumeration date 01/17/2013
Last updated 01/17/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 02145619
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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