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
Phone: (631) 360-1544
Fax: (631) 360-1839
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407916729 | NPPES |
| New York | MEDICAID | 02701788 |
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