Katechis, Tassos S.
Katechis, Tassos S. is an sole proprietor health care provider with primary practice located at 4021 Bell Blvd 2Nd Fl, Bayside NY 11361-2041. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Katechis, Tassos S. can be contacted via phone (718) 352-5582.Contact Information
Primary practice address
4021 Bell Blvd 2Nd Fl
Bayside NY 11361-2041
Phone: (718) 352-5582
Fax: (718) 352-5584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0529531 | New York |
Profile Details
| NPI number | 1255471066 |
|---|---|
| LBN Legal business name | Katechis, Tassos S. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Aug 20th, 2009 - about 15 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 | 1255471066 | NPPES |
| New York | MEDICAID | 02784756 |
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