Herrera, Maria De Jesus

Herrera, Maria De Jesus is an individual health care provider with primary practice located at 3753 91St St , Jackson Heights NY 11372-7901. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Herrera, Maria De Jesus can be contacted via phone (718) 205-4377.

Contact Information

Primary practice address
3753 91St St Jackson Heights NY 11372-7901
Phone: (718) 205-4377
Fax: (718) 205-8605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 041976 New York

Profile Details

NPI number 1063498046
LBN Legal business name Herrera, Maria De Jesus
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Dec 14th, 2012 - about 12 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 1063498046 NPPES
New York MEDICAID 01161288

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