Bohorquez, Alexis

Bohorquez, Alexis is an individual health care provider with primary practice located at 9014 Elmhurst Ave , Jackson Heights NY 11372-7936. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bohorquez, Alexis can be contacted via phone (718) 899-0450.

Contact Information

Primary practice address
9014 Elmhurst Ave Jackson Heights NY 11372-7936
Fax: (718) 335-0458
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 039879 New York

Profile Details

NPI number 1982692133
LBN Legal business name Bohorquez, Alexis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 17 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 1982692133 NPPES
New York MEDICAID 00952089

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