Isioye, Gabriel A
Isioye, Gabriel A is an sole proprietor health care provider with primary practice located at 3024 Kingsbridge Ave , Bronx NY 10463-5121. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Isioye, Gabriel A can be contacted via phone (718) 543-4747.Contact Information
Primary practice address
3024 Kingsbridge Ave
Bronx NY 10463-5121
Phone: (718) 543-4747
Fax: (718) 884-6137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 050241 | New York |
Profile Details
| NPI number | 1942281829 |
|---|---|
| LBN Legal business name | Isioye, Gabriel A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Dec 12th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942281829 | NPPES |
| New York | MEDICAID | 02419776 |
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