Itkonitz, Mona

Itkonitz, Mona is an individual health care provider with primary practice located at 49 Forest Rd , Monroe NY 10950. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Itkonitz, Mona can be contacted via phone (845) 782-3242.

Contact Information

Primary practice address
49 Forest Rd Monroe NY 10950
Fax: (845) 783-7133
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 018476 New York

Profile Details

NPI number 1548593494
LBN Legal business name Itkonitz, Mona
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2009
Last updated Sep 10th, 2009 - about 16 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 1548593494 NPPES
New York MEDICAID 01620680

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