Calderon, Marcelo Eduardo
Calderon, Marcelo Eduardo is an sole proprietor health care provider with primary practice located at 13501 Lefferts Blvd , South Ozone Park NY 11420-3601. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Calderon, Marcelo Eduardo can be contacted via phone (718) 845-6297.Contact Information
Primary practice address
13501 Lefferts Blvd
South Ozone Park NY 11420-3601
Phone: (718) 845-6297
Fax: (718) 845-6563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 041073-1 | New York |
Profile Details
| NPI number | 1467677054 |
|---|---|
| LBN Legal business name | Calderon, Marcelo Eduardo |
| Credentials | D.M.D.,P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467677054 | NPPES |
| New York | Other | 006709 | LOCATION # DORAL |
| New York | MEDICAID | 01124010 | LOCATION # DORAL |
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