Arevalo, Jessica

Arevalo, Jessica is an individual health care provider with primary practice located at 2050 Tilden Ave , New Hartford NY 13413-3613. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Arevalo, Jessica can be contacted via phone (315) 737-2448.

Contact Information

Primary practice address
2050 Tilden Ave New Hartford NY 13413-3613
Phone: (315) 737-2448
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 022595-1 New York

Profile Details

NPI number 1104284769
LBN Legal business name Arevalo, Jessica
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2016
Last updated Feb 10th, 2016 - about 9 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 1104284769 NPPES
New York MEDICAID 01815443
New York MEDICAID 00313539

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