Boutehsaz, Ebbie

Boutehsaz, Ebbie is an individual health care provider with primary practice located at 3310 Bainbridge Ave , Bronx NY 10467. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boutehsaz, Ebbie can be contacted via phone (718) 654-3456.

Contact Information

Primary practice address
3310 Bainbridge Ave Bronx NY 10467
Phone: (718) 654-3456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 058225-1 New York

Profile Details

NPI number 1568869501
LBN Legal business name Boutehsaz, Ebbie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2014
Last updated Nov 14th, 2018 - about 8 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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