Locascio, Santa

Locascio, Santa is an sole proprietor health care provider with primary practice located at 7016 Fresh Pond Rd , Ridgewood NY 11385-5902. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Locascio, Santa can be contacted via phone (718) 628-6588.

Contact Information

Primary practice address
7016 Fresh Pond Rd Ridgewood NY 11385-5902
Phone: (718) 628-6588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 042722 New York

Profile Details

NPI number 1801112495
LBN Legal business name Locascio, Santa
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2010
Last updated Apr 8th, 2010 - about 14 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 1801112495 NPPES
New York MEDICAID 01197731

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