Jallad, Marwan M
Jallad, Marwan M is an individual health care provider with primary practice located at 14 Doscher Avenue , West Nyack NY 10994. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jallad, Marwan M can be contacted via phone (845) 727-4124.Contact Information
Primary practice address
14 Doscher Avenue
West Nyack NY 10994
Phone: (845) 727-4124
Fax: (845) 727-4128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 043263 | New York |
Profile Details
| NPI number | 1336294982 |
|---|---|
| LBN Legal business name | Jallad, Marwan M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Sep 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336294982 | NPPES |
| New York | MEDICAID | 01283421 |
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