Alvarado- Astaiza, Jeannie Elizabeth

Alvarado- Astaiza, Jeannie Elizabeth is an sole proprietor health care provider with primary practice located at 3426 Merrick Rd , Seaford NY 11783-2805. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Alvarado- Astaiza, Jeannie Elizabeth can be contacted via phone (516) 783-9773.

Contact Information

Primary practice address
3426 Merrick Rd Seaford NY 11783-2805
Phone: (516) 783-9773
Fax: (516) 783-9770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 053016-1 New York
Dental Providers / Pediatric Dentistry 1223P0221X 8680 New York

Profile Details

NPI number 1558422956
LBN Legal business name Alvarado- Astaiza, Jeannie Elizabeth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Feb 7th, 2020 - about 5 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 1558422956 NPPES
New York MEDICAID 02955948

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