Giumenta, Michelle

Giumenta, Michelle is an individual health care provider with primary practice located at 2530 Amboy Rd , Staten Island NY 10306-2220. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Giumenta, Michelle can be contacted via phone (718) 979-6462.

Contact Information

Primary practice address
2530 Amboy Rd Staten Island NY 10306-2220
Phone: (718) 979-6462
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 045916 New York

Profile Details

NPI number 1265495634
LBN Legal business name Giumenta, Michelle
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
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 1265495634 NPPES
New York MEDICAID 01804622

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