Amarga, Segundo
Amarga, Segundo is an sole proprietor health care provider with primary practice located at 9120 Atlantic Avenue , Ozone Park NY 11416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Amarga, Segundo can be contacted via phone (718) 641-8207.Contact Information
Primary practice address
9120 Atlantic Avenue
Ozone Park NY 11416
Phone: (718) 641-8207
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | 127088 | New York |
Profile Details
NPI number | 1770504169 |
---|---|
LBN Legal business name | Amarga, Segundo |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 21st, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1770504169 | NPPES |
New York | MEDICAID | 00407369 |
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