Brook, Jeffrey R

Brook, Jeffrey R is an sole proprietor health care provider with primary practice located at 878 N Broadway , Massapequa NY 11758-2345. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Brook, Jeffrey R can be contacted via phone (516) 799-1500.

Contact Information

Primary practice address
878 N Broadway Massapequa NY 11758-2345
Fax: (516) 799-1510
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 031116 New York

Profile Details

NPI number 1134142169
LBN Legal business name Brook, Jeffrey R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 17 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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