Axelrod, Diane Jane
Axelrod, Diane Jane is an individual health care provider with primary practice located at 5225 Nesconset Hwy Ste 40 , Port Jefferson Station NY 11776-2060. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Axelrod, Diane Jane can be contacted via phone (631) 928-2830.Contact Information
Primary practice address
5225 Nesconset Hwy Ste 40
Port Jefferson Station NY 11776-2060
Phone: (631) 928-2830
Fax: (631) 928-2915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 042137-1 | New York |
Profile Details
| NPI number | 1316280571 |
|---|---|
| LBN Legal business name | Axelrod, Diane Jane |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2013 |
| Last updated | Apr 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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