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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124246590 | NPPES |
| New York | MEDICAID | 02207445 |
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