Avner, Jacob Alayev

Avner, Jacob Alayev is an individual health care provider with primary practice located at 9725 64Th Ave Ste G3 , Rego Park NY 11374-2205. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Avner, Jacob Alayev can be contacted via phone (718) 275-7300.

Contact Information

Primary practice address
9725 64Th Ave Ste G3 Rego Park NY 11374-2205
Phone: (718) 275-7300
Fax: (718) 275-7307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 049689 New York

Profile Details

NPI number 1851434021
LBN Legal business name Avner, Jacob Alayev
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Dec 5th, 2013 - about 11 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 1851434021 NPPES
New York MEDICAID 02282222

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