Lebeden, Alexander

Lebeden, Alexander is an individual health care provider with primary practice located at 9330 Queens Blvd , Rego Park NY 11374-1135. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lebeden, Alexander can be contacted via phone (718) 897-5900.

Contact Information

Primary practice address
9330 Queens Blvd Rego Park NY 11374-1135
Phone: (718) 897-5900
Fax: (718) 897-6331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0034020 New York

Profile Details

NPI number 1407960925
LBN Legal business name Lebeden, Alexander
Credentials DDS PC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 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 1407960925 NPPES
New York MEDICAID 00395253

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