Bovino, Brian F

Bovino, Brian F is an sole proprietor health care provider with primary practice located at 425 W 59Th St 10Th Floor, New York NY 10019-1104. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bovino, Brian F can be contacted via phone (212) 523-7791.

Contact Information

Primary practice address
425 W 59Th St 10Th Floor New York NY 10019-1104
Phone: (212) 523-7791
Fax: (212) 523-8165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 040518 New York
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 015109 New Jersey

Profile Details

NPI number 1659430643
LBN Legal business name Bovino, Brian F
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Jul 31st, 2008 - about 16 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 1659430643 NPPES
New York MEDICAID 01285336

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