Marciniszyn, Thaddeus Joseph

Marciniszyn, Thaddeus Joseph is an individual health care provider with primary practice located at 191 Guy Park Ave , Amsterdam NY 12010-3254. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Marciniszyn, Thaddeus Joseph can be contacted via phone (518) 842-3220.

Contact Information

Primary practice address
191 Guy Park Ave Amsterdam NY 12010-3254
Fax: (518) 843-0830
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 030480 New York

Profile Details

NPI number 1407843667
LBN Legal business name Marciniszyn, Thaddeus Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 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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