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
Phone: (718) 271-3100
Fax: (718) 271-3100
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295706786 | NPPES |
New York | MEDICAID | 00875085 |
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