Domozych, Richard
Domozych, Richard is an individual health care provider with primary practice located at 127 West Main Street , East Islip NY 11730. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Domozych, Richard can be contacted via phone (631) 277-4848.Contact Information
Primary practice address
127 West Main Street
East Islip NY 11730
Phone: (631) 277-4848
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 046327 | New York |
Profile Details
| NPI number | 1447392394 |
|---|---|
| LBN Legal business name | Domozych, Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 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 | 1447392394 | NPPES |
| New York | MEDICAID | 01627476 |
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