Dorfman, Beth J.

Dorfman, Beth J. is an individual health care provider with primary practice located at Park Avenue Periodontal Associates 532 Park Avenue, New York NY 10021. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Dorfman, Beth J. can be contacted via phone (212) 838-0940.

Contact Information

Primary practice address
Park Avenue Periodontal Associates 532 Park Avenue New York NY 10021
Fax: (212) 355-4784
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 049011 New York

Profile Details

NPI number 1710192901
LBN Legal business name Dorfman, Beth J.
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710192901 NPPES
New York Other 133049463 FEDERAL TAX ID

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