Mastromihalis, George

Mastromihalis, George is an individual health care provider with primary practice located at 225 Broadway , New York NY 10007-3001. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Mastromihalis, George can be contacted via phone (212) 732-7400.

Contact Information

Primary practice address
225 Broadway New York NY 10007-3001
Fax: (212) 732-0267
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 050032 New York

Profile Details

NPI number 1992765689
LBN Legal business name Mastromihalis, George
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992765689 NPPES
New York MEDICAID 02672755

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