Laguardia, Gerald Michael

Laguardia, Gerald Michael is an sole proprietor health care provider with primary practice located at 872 Middle Country Rd , Saint James NY 11780-3223. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Laguardia, Gerald Michael can be contacted via phone (631) 360-1544.

Contact Information

Primary practice address
872 Middle Country Rd Saint James NY 11780-3223
Fax: (631) 360-1839
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 048499 New York

Profile Details

NPI number 1407916729
LBN Legal business name Laguardia, Gerald Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 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 1407916729 NPPES
New York MEDICAID 02701788

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