Levant, Veniamin M

Levant, Veniamin M is an sole proprietor health care provider with primary practice located at 8411 Northern Blvd 1St Floor, Jackson Heights NY 11372-1531. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Levant, Veniamin M can be contacted via phone (718) 424-7100.

Contact Information

Primary practice address
8411 Northern Blvd 1St Floor Jackson Heights NY 11372-1531
Fax: (718) 424-7898
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 049781 New York

Profile Details

NPI number 1083603666
LBN Legal business name Levant, Veniamin M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
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 1083603666 NPPES
New York MEDICAID 02348736

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