Dalton, Jack F
Dalton, Jack F is an individual health care provider with primary practice located at 106-14 70Th Avenue , Forest Hills NY 11375. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dalton, Jack F can be contacted via phone (718) 520-6620.Contact Information
Primary practice address
106-14 70Th Avenue
Forest Hills NY 11375
Phone: (718) 520-6620
Fax: (718) 520-6630
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 112564 | New York |
Profile Details
NPI number | 1619947082 |
---|---|
LBN Legal business name | Dalton, Jack F |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2006 |
Last updated | Jan 11th, 2011 - about 13 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 | 1619947082 | NPPES |
New York | Other | 113089245 | TAX ID |
New York | Other | NS1640 | TAX ID |
New York | Other | 176007 | TAX ID |
New York | Other | 24706P | TAX ID |
New York | Other | 4C8348 | TAX ID |
New York | Other | 0041437 | TAX ID |
New York | MEDICAID | 00881847 | TAX ID |
Popular Providers
-
Kandov, Svetlana
11030 63Rd Rd , Forest Hills NY 11375-1427 -
Chin, Sandy
7219 Kessel St , Forest Hills NY 11375-5933 -
Lipsztein, Roberto
106-14 70Th Avenue , Forest Hills NY 11375 -
Rathgeber, John Peter
6740 Booth St Apartment 3B, Forest Hills NY 11375-2755 -
Rudy, Victor D.
11050 71 Rd Suite 1M, Forest Hills NY 11375-4972 -
Castineiras, Julie
7242 Kessel St , Forest Hills NY 11375-5934 -
Zikherman, Andrey
7149 Ingram St , Forest Hills NY 11375-5924 -
Doczynski, Amy
7000 Austin St Ste 200 , Forest Hills NY 11375-4739