Juarez, Patricia I
Juarez, Patricia I is an individual health care provider with primary practice located at 8 Medical Dr , Port Jefferson Station NY 11776. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Juarez, Patricia I can be contacted via phone (631) 928-8585.Contact Information
Primary practice address
8 Medical Dr
Port Jefferson Station NY 11776
Phone: (631) 928-8585
Fax: (631) 928-8861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 049452 | New York |
Profile Details
| NPI number | 1275672453 |
|---|---|
| LBN Legal business name | Juarez, Patricia I |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 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 | 1275672453 | NPPES |
| New York | MEDICAID | 02428339 |
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