Boretz, Leonard Howard
Boretz, Leonard Howard is an sole proprietor health care provider with primary practice located at 485 N Ocean Ave , Patchogue NY 11772-1762. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boretz, Leonard Howard can be contacted via phone (631) 289-5844.Contact Information
Primary practice address
485 N Ocean Ave
Patchogue NY 11772-1762
Phone: (631) 289-5844
Fax: (631) 312-0074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 023912 | New York |
Profile Details
| NPI number | 1730177072 |
|---|---|
| LBN Legal business name | Boretz, Leonard Howard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Apr 11th, 2016 - about 9 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 | 1730177072 | NPPES |
| New York | MEDICAID | 00347379 |
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