David - Carrasco, Maria Cristina Cristina

David - Carrasco, Maria Cristina Cristina is an individual health care provider with primary practice located at 182 Hillside Ave , Williston Park NY 11596. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. David - Carrasco, Maria Cristina Cristina can be contacted via phone (516) 746-6251.

Contact Information

Primary practice address
182 Hillside Ave Williston Park NY 11596
Phone: (516) 746-6251
Fax: (516) 746-5078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0499771 New York

Profile Details

NPI number 1619952835
LBN Legal business name David - Carrasco, Maria Cristina Cristina
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Oct 12th, 2021 - about 3 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 1619952835 NPPES
New York MEDICAID 02500049

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