Idelson, Kevin S

Idelson, Kevin S is an individual health care provider with primary practice located at 425 Northern Blvd , Great Neck NY 11021-4803. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Idelson, Kevin S can be contacted via phone (516) 829-0339.

Contact Information

Primary practice address
425 Northern Blvd Great Neck NY 11021-4803
Phone: (516) 829-0339
Fax: (516) 829-0357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 041570 New York

Profile Details

NPI number 1407847270
LBN Legal business name Idelson, Kevin S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
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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