Kielawa, Rosemarie

Kielawa, Rosemarie is an individual health care provider with primary practice located at 380 Washington Ave , Roosevelt NY 11575-1845. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kielawa, Rosemarie can be contacted via phone (516) 378-2000.

Contact Information

Primary practice address
380 Washington Ave Roosevelt NY 11575-1845
Phone: (516) 378-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 00014090 New York

Profile Details

NPI number 1215944517
LBN Legal business name Kielawa, Rosemarie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215944517 NPPES
New York MEDICAID 00014090

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