Medina, Richard P

Medina, Richard P is an sole proprietor health care provider with primary practice located at 3719 88Th St Fl 1 , Jackson Heights NY 11372-7630. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Medina, Richard P can be contacted via phone (718) 685-0031.

Contact Information

Primary practice address
3719 88Th St Fl 1 Jackson Heights NY 11372-7630
Phone: (718) 685-0031
Fax: (718) 685-0033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 047920 New York
Dental Providers / General Practice 1223G0001X 047920 New York

Profile Details

NPI number 1356553275
LBN Legal business name Medina, Richard P
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Jul 25th, 2014 - about 10 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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