Flores, Corazon

Flores, Corazon is an individual health care provider with primary practice located at 12 Davis Ave , Poughkeepsie NY 12603. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Flores, Corazon can be contacted via phone (845) 473-4546.

Contact Information

Primary practice address
12 Davis Ave Poughkeepsie NY 12603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 035977 New York

Profile Details

NPI number 1679629125
LBN Legal business name Flores, Corazon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 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 1679629125 NPPES
New York MEDICAID 00870888

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