Mota-Martinez, Mercedes
Mota-Martinez, Mercedes is an sole proprietor health care provider with primary practice located at 10401 Roosevelt Ave , Corona NY 11368-2327. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mota-Martinez, Mercedes can be contacted via phone (718) 779-2214.Contact Information
Primary practice address
10401 Roosevelt Ave
Corona NY 11368-2327
Phone: (718) 779-2214
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 040540 | New York |
Profile Details
| NPI number | 1073572996 |
|---|---|
| LBN Legal business name | Mota-Martinez, Mercedes |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Nov 20th, 2012 - about 12 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 | 1073572996 | NPPES |
| New York | MEDICAID | 01178770 | |
| New York | MEDICAID | 00998187 |
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