Escudero, Leyla C

Escudero, Leyla C is an individual health care provider with primary practice located at 40-33 76Th St Suite No 4D, Elmhurst NY 11373. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Escudero, Leyla C can be contacted via phone (718) 458-7426.

Contact Information

Primary practice address
40-33 76Th St Suite No 4D Elmhurst NY 11373
Fax: (718) 672-5591
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 043063 New York

Profile Details

NPI number 1033190855
LBN Legal business name Escudero, Leyla C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1033190855 NPPES
New York Other 9177351 DORAL
New York MEDICAID 01239261 DORAL
New York Other 02303 DORAL

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