Lee, John
Lee, John is an sole proprietor health care provider with primary practice located at 24536 76Th Ave # A , Bellerose NY 11426-1802. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lee, John can be contacted via phone (718) 772-3465.Contact Information
Primary practice address
24536 76Th Ave # A
Bellerose NY 11426-1802
Phone: (718) 772-3465
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 052270-1 | New York |
Profile Details
| NPI number | 1255487112 |
|---|---|
| LBN Legal business name | Lee, John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Feb 27th, 2016 - about 8 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 | 1255487112 | NPPES |
| New York | MEDICAID | 02691909 |
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