Avezbadalov, Iosif
Avezbadalov, Iosif is an individual health care provider with primary practice located at 6384 Saunders St , Rego Park NY 11374. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Avezbadalov, Iosif can be contacted via phone (718) 997-7762.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 050720 | New York |
Profile Details
| NPI number | 1740321181 |
|---|---|
| LBN Legal business name | Avezbadalov, Iosif |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1740321181 | NPPES |
| New York | MEDICAID | 02521951 |
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