Matuza, Albert R
Matuza, Albert R is an sole proprietor health care provider with primary practice located at 8710 Grand Ave , Elmhurst NY 11373-4444. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Matuza, Albert R can be contacted via phone (718) 429-8300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 042099-1 | New York |
Profile Details
| NPI number | 1619171386 |
|---|---|
| LBN Legal business name | Matuza, Albert R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Dec 26th, 2013 - about 11 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 | 1619171386 | NPPES |
| New York | MEDICAID | 01649150 |
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