Campbell, Fitzroy George

Campbell, Fitzroy George is an sole proprietor health care provider with primary practice located at 405 Cozine Ave , Brooklyn NY 11207-9237. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Campbell, Fitzroy George can be contacted via phone (718) 927-2530.

Contact Information

Primary practice address
405 Cozine Ave Brooklyn NY 11207-9237
Phone: (718) 927-2530
Fax: (718) 927-2381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 045820-1 New York

Profile Details

NPI number 1962610071
LBN Legal business name Campbell, Fitzroy George
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
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 1962610071 NPPES
New York MEDICAID 020713873

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