Hopkins, Carissa R

Hopkins, Carissa R is an sole proprietor health care provider with primary practice located at 27 North Street , Middletown NY 10940. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Hopkins, Carissa R can be contacted via phone (845) 342-3900.

Contact Information

Primary practice address
27 North Street Middletown NY 10940
Fax: (845) 343-5390
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 024818 New York

Profile Details

NPI number 1407047020
LBN Legal business name Hopkins, Carissa R
Credentials DENTAL HYGIENIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2007
Last updated Aug 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 1407047020 NPPES
New York MEDICAID 00355931

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