Festa, Stephen Anthony

Festa, Stephen Anthony is an individual health care provider with primary practice located at 3755 76Th St , Jackson Heights NY 11372-6507. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Festa, Stephen Anthony can be contacted via phone (718) 429-6116.

Contact Information

Primary practice address
3755 76Th St Jackson Heights NY 11372-6507
Phone: (718) 429-6116
Fax: (516) 498-9364
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 34936 New York

Profile Details

NPI number 1760572044
LBN Legal business name Festa, Stephen Anthony
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2006
Last updated Jul 9th, 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 1760572044 NPPES
New York MEDICAID 01233210

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