Achury, Camilo Dario

Achury, Camilo Dario is an sole proprietor health care provider with primary practice located at 3545 79Th St , Jackson Heights NY 11372-4818. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Achury, Camilo Dario can be contacted via phone (718) 335-1331.

Contact Information

Primary practice address
3545 79Th St Jackson Heights NY 11372-4818
Fax: (718) 396-2593
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 041859 New York

Profile Details

NPI number 1114096252
LBN Legal business name Achury, Camilo Dario
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114096252 NPPES
New York Other 041859 LICENSE

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