Mizrahi, Emanuel
Mizrahi, Emanuel is an sole proprietor health care provider with primary practice located at 10821 69Th Rd , Forest Hills NY 11375-3839. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mizrahi, Emanuel can be contacted via phone (718) 897-6666.Contact Information
Primary practice address
10821 69Th Rd
Forest Hills NY 11375-3839
Phone: (718) 897-6666
Fax: (718) 263-7678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 042835-1 | New York |
Profile Details
| NPI number | 1902022122 |
|---|---|
| LBN Legal business name | Mizrahi, Emanuel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1902022122 | NPPES |
| New York | MEDICAID | 01388792 |
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