Dekel, Gadi
Dekel, Gadi is an sole proprietor health care provider with primary practice located at 339 Wyckoff Ave , Ridgewood NY 11385-2753. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dekel, Gadi can be contacted via phone (718) 366-0662.Contact Information
Primary practice address
339 Wyckoff Ave
Ridgewood NY 11385-2753
Phone: (718) 366-0662
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 047376-1 | New York |
Profile Details
| NPI number | 1699824417 |
|---|---|
| LBN Legal business name | Dekel, Gadi |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699824417 | NPPES |
| New York | MEDICAID | 02010213 | |
| New York | Other | 047376-1 |
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