Cosentino, Sam L

Cosentino, Sam L is an sole proprietor health care provider with primary practice located at 52-12 108Th St , Corona NY 11368. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Cosentino, Sam L can be contacted via phone (718) 271-3100.

Contact Information

Primary practice address
52-12 108Th St Corona NY 11368
Fax: (718) 271-3100
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 038773 New York

Profile Details

NPI number 1295706786
LBN Legal business name Cosentino, Sam L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 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 1295706786 NPPES
New York MEDICAID 00875085

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