Albandoz, Lourdes Marhilda
Albandoz, Lourdes Marhilda is an individual health care provider with primary practice located at 10017 Northern Blvd Ground Floor, Corona NY 11368. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Albandoz, Lourdes Marhilda can be contacted via phone (718) 424-9210.Contact Information
Primary practice address
10017 Northern Blvd Ground Floor
Corona NY 11368
Phone: (718) 424-9210
Fax: (718) 424-9200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 054132 | New York |
Profile Details
| NPI number | 1538316385 |
|---|---|
| LBN Legal business name | Albandoz, Lourdes Marhilda |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2008 |
| Last updated | Jul 10th, 2018 - about 6 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 | 1538316385 | NPPES |
| New York | MEDICAID | 03142110 |
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