Leta, Philip Joseph
Leta, Philip Joseph is an individual health care provider with primary practice located at 7208 Buffalo Avenue , Niagara Falls NY 14304. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Leta, Philip Joseph can be contacted via phone (716) 283-3314.Contact Information
Primary practice address
7208 Buffalo Avenue
Niagara Falls NY 14304
Phone: (716) 283-3314
Fax: (716) 283-8367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 32215 | New York |
Profile Details
| NPI number | 1992812648 |
|---|---|
| LBN Legal business name | Leta, Philip Joseph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992812648 | NPPES |
| New York | MEDICAID | 00609572 |
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