Kohanzadeh, Jack
Kohanzadeh, Jack is an sole proprietor health care provider with primary practice located at 233 E Shore Rd Suite # 107, Great Neck NY 11023-2433. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kohanzadeh, Jack can be contacted via phone (516) 482-7557.Contact Information
Primary practice address
233 E Shore Rd Suite # 107
Great Neck NY 11023-2433
Phone: (516) 482-7557
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | NY034044 | New York |
Profile Details
| NPI number | 1750567046 |
|---|---|
| LBN Legal business name | Kohanzadeh, Jack |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2008 |
| Last updated | Jan 16th, 2008 - about 16 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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