Brookstone, Mitchell S

Brookstone, Mitchell S is an individual health care provider with primary practice located at 1228 Wantagh Ave Suite 101, Wantagh NY 11793-2209. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Brookstone, Mitchell S can be contacted via phone (516) 826-1666.

Contact Information

Primary practice address
1228 Wantagh Ave Suite 101 Wantagh NY 11793-2209
Fax: (516) 783-7716
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 042202 New York

Profile Details

NPI number 1992784748
LBN Legal business name Brookstone, Mitchell S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992784748 NPPES
New York MEDICAID 01469887

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