Justus-Tauer, Kimberly Kerry
Justus-Tauer, Kimberly Kerry is an sole proprietor health care provider with primary practice located at 61 Nassau Ave , Islip NY 11751-3607. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Justus-Tauer, Kimberly Kerry can be contacted via phone (631) 277-5099.Contact Information
Primary practice address
61 Nassau Ave
Islip NY 11751-3607
Phone: (631) 277-5099
Fax: (631) 581-0635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 048183 | New York |
Profile Details
| NPI number | 1801962139 |
|---|---|
| LBN Legal business name | Justus-Tauer, Kimberly Kerry |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 9th, 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 | 1801962139 | NPPES |
| New York | MEDICAID | 02120327 |
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