Brocavich, Kristen
Brocavich, Kristen is an individual health care provider with primary practice located at 150 Islip Ave Ste 11 , Islip NY 11751-3222. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Brocavich, Kristen can be contacted via phone (631) 581-3100.Contact Information
Primary practice address
150 Islip Ave Ste 11
Islip NY 11751-3222
Phone: (631) 581-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 061138 | New York |
Profile Details
| NPI number | 1851901896 |
|---|---|
| LBN Legal business name | Brocavich, Kristen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2020 |
| Last updated | Aug 4th, 2020 - about 4 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.
Popular Providers
-
Flynn, Jon C
7213 Noah Reid Rd Ste 107, Chattanooga TN 37421-7223 -
Matin, Madjid
5530 Wisconsin Ave Ste 1110, Chevy Chase MD 20815-4330 -
Frost, Kathleen M
150 Islip Ave Suite 11, Islip NY 11751-3222 -
Stamatelakys, Constantine
2933 W Layton Ave , Greenfield WI 53221-2626 -
Fourrier, Jeanne L.
1947 Glenns Bay Rd , Surfside Beach SC 29575-4833 -
Kaplan, Eugene Russell
1777 N Bellflower Blvd Ste 209, Long Beach CA 90815-4020 -
Sedaghatpour, Mehrshid
17 Maple Dr , Great Neck NY 11021-2000 -
Smith, Valerie Anne
100 Copeland Dr Unit 3, Mansfield MA 02048-1245