Dicosimo, Charles John
Dicosimo, Charles John is an sole proprietor health care provider with primary practice located at 407 University Ave Suite 103, Syracuse NY 13210-1866. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dicosimo, Charles John can be contacted via phone (315) 472-4514.Contact Information
Primary practice address
407 University Ave Suite 103
Syracuse NY 13210-1866
Phone: (315) 472-4514
Fax: (315) 475-6896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 032746 | New York |
Profile Details
| NPI number | 1558403618 |
|---|---|
| LBN Legal business name | Dicosimo, Charles John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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