Angeles, Jose

Angeles, Jose is an individual health care provider with primary practice located at 1624 Central Ave , Far Rockaway NY 11691-4002. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Angeles, Jose can be contacted via phone (718) 845-6223.

Contact Information

Primary practice address
1624 Central Ave Far Rockaway NY 11691-4002
Phone: (718) 845-6223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 047628 New York

Profile Details

NPI number 1124246590
LBN Legal business name Angeles, Jose
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124246590 NPPES
New York MEDICAID 02207445

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