Ivry, Michael Yehuda
Ivry, Michael Yehuda is an sole proprietor health care provider with primary practice located at 44 S Central Ave Ste 2 , Valley Stream NY 11580. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ivry, Michael Yehuda can be contacted via phone (516) 561-7788.Contact Information
Primary practice address
44 S Central Ave Ste 2
Valley Stream NY 11580
Phone: (516) 561-7788
Fax: (516) 596-7455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0479621 | New York |
Profile Details
| NPI number | 1154509503 |
|---|---|
| LBN Legal business name | Ivry, Michael Yehuda |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2008 |
| Last updated | May 30th, 2018 - about 7 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 | 1154509503 | NPPES |
| New York | MEDICAID | 1154509503 |
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