Mitra, Phalguni
Mitra, Phalguni is an sole proprietor health care provider with primary practice located at 107 Institute St , Jamestown NY 14701-6628. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mitra, Phalguni can be contacted via phone (716) 484-4334.Contact Information
Primary practice address
107 Institute St
Jamestown NY 14701-6628
Phone: (716) 484-4334
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 043711 | New York |
Profile Details
| NPI number | 1932325610 |
|---|---|
| LBN Legal business name | Mitra, Phalguni |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Aug 31st, 2023 - about 2 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 | 1932325610 | NPPES |
| New York | MEDICAID | 01349426 |
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