Aguilera Ayala, Nicolas Augusto
Aguilera Ayala, Nicolas Augusto is an individual health care provider with primary practice located at 30 E 76Th St Fl 5 , New York NY 10021-2700. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Aguilera Ayala, Nicolas Augusto can be contacted via phone (212) 794-9600.Contact Information
Primary practice address
30 E 76Th St Fl 5
New York NY 10021-2700
Phone: (212) 794-9600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 062478-01 | New York |
Profile Details
| NPI number | 1043805336 |
|---|---|
| LBN Legal business name | Aguilera Ayala, Nicolas Augusto |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2021 |
| Last updated | Aug 12th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043805336 | NPPES |
| New York | MEDICAID | 874813458 |
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