Ghadami, Matthew
Ghadami, Matthew is an sole proprietor health care provider with primary practice located at 24902 Jericho Tpke , Floral Park NY 11001-4023. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ghadami, Matthew can be contacted via phone (516) 354-1700.Contact Information
Primary practice address
24902 Jericho Tpke
Floral Park NY 11001-4023
Phone: (516) 354-1700
Fax: (516) 354-4845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 050254 | New York |
Profile Details
| NPI number | 1316931561 |
|---|---|
| LBN Legal business name | Ghadami, Matthew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Nov 29th, 2016 - about 8 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 | 1316931561 | NPPES |
| New York | MEDICAID | 02521497 |
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