Bravo, Bertha Dina
Bravo, Bertha Dina is an individual health care provider with primary practice located at 302 Greenwich Street , Hempstead NY 11550. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bravo, Bertha Dina can be contacted via phone (516) 485-1145.Contact Information
Primary practice address
302 Greenwich Street
Hempstead NY 11550
Phone: (516) 485-1145
Fax: (516) 485-8386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0442781 | New York |
Profile Details
| NPI number | 1124155353 |
|---|---|
| LBN Legal business name | Bravo, Bertha Dina |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| 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 | 1124155353 | NPPES |
| New York | MEDICAID | 01353584 |
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