Kwapisiewicz, Dorota M

Kwapisiewicz, Dorota M is an sole proprietor health care provider with primary practice located at 6007 Myrtle Ave , Ridgewood NY 11385-5933. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kwapisiewicz, Dorota M can be contacted via phone (718) 456-2727.

Contact Information

Primary practice address
6007 Myrtle Ave Ridgewood NY 11385-5933
Fax: (718) 456-2728
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 048350 New York

Profile Details

NPI number 1063479236
LBN Legal business name Kwapisiewicz, Dorota M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2006
Last updated Jan 19th, 2010 - about 14 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 1063479236 NPPES
New York MEDICAID 02052582

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