Kouzoukian, James George

Kouzoukian, James George is an individual health care provider with primary practice located at 6611 99Th St Ste. 1E, Rego Park NY 11374-4360. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kouzoukian, James George can be contacted via phone (718) 997-8025.

Contact Information

Primary practice address
6611 99Th St Ste. 1E Rego Park NY 11374-4360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 038818 New York

Profile Details

NPI number 1316910656
LBN Legal business name Kouzoukian, James George
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316910656 NPPES
New York MEDICAID 01123591

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