Israelian, Shomer
Israelian, Shomer is an individual health care provider with primary practice located at 1250 Ocean Pkwy , Brooklyn NY 11230-5155. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Israelian, Shomer can be contacted via phone (718) 648-5265.Contact Information
Primary practice address
1250 Ocean Pkwy
Brooklyn NY 11230-5155
Phone: (718) 648-5265
Fax: (718) 758-3563
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 045451 | New York |
Profile Details
NPI number | 1942292941 |
---|---|
LBN Legal business name | Israelian, Shomer |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2005 |
Last updated | Jul 9th, 2007 - about 18 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 | 1942292941 | NPPES |
New York | MEDICAID | 01872893 |
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