Bienenstock, Marc Irwin
Bienenstock, Marc Irwin is an individual health care provider with primary practice located at 3809 Junction Blvd Fl 2, Corona NY 11368-2153. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bienenstock, Marc Irwin can be contacted via phone (718) 639-7100.Contact Information
Primary practice address
3809 Junction Blvd Fl 2
Corona NY 11368-2153
Phone: (718) 639-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 031415 | New York |
Profile Details
| NPI number | 1316940158 |
|---|---|
| LBN Legal business name | Bienenstock, Marc Irwin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| 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 | 1316940158 | NPPES |
| New York | MEDICAID | 00281907 |
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