Grace, Sara
Grace, Sara is an individual health care provider with primary practice located at 111 N Country Rd Ste 1 , Port Jefferson NY 11777-2605. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Grace, Sara can be contacted via phone (631) 473-4400.Contact Information
Primary practice address
111 N Country Rd Ste 1
Port Jefferson NY 11777-2605
Phone: (631) 473-4400
Fax: (631) 473-4489
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 053165 | New York |
Profile Details
NPI number | 1134595580 |
---|---|
LBN Legal business name | Grace, Sara |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2015 |
Last updated | Aug 19th, 2015 - about 9 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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