Mathew, Rani Susan
Mathew, Rani Susan is an sole proprietor health care provider with primary practice located at 20815 Hillside Ave , Queens Village NY 11427-1711. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mathew, Rani Susan can be contacted via phone (718) 468-5300.Contact Information
Primary practice address
20815 Hillside Ave
Queens Village NY 11427-1711
Phone: (718) 468-5300
Fax: (718) 301-5832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 049507 | New York |
Profile Details
| NPI number | 1902951478 |
|---|---|
| LBN Legal business name | Mathew, Rani Susan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| 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 | 1902951478 | NPPES |
| New York | MEDICAID | 02321277 |
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