Grande, Edgardo

Grande, Edgardo is an individual health care provider with primary practice located at 72 Guy Lombardo Avenue , Freeport NY 11520-3742. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Grande, Edgardo can be contacted via phone (516) 546-4301.

Contact Information

Primary practice address
72 Guy Lombardo Avenue Freeport NY 11520-3742
Fax: (516) 546-4301
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 041177 New York

Profile Details

NPI number 1477674216
LBN Legal business name Grande, Edgardo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 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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