Mukhatiyar, Sapan Anil
Mukhatiyar, Sapan Anil is an sole proprietor health care provider with primary practice located at 5903 Roosevelt Ave 2Nd Floor, Woodside NY 11377-3546. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mukhatiyar, Sapan Anil can be contacted via phone (718) 651-7700.Contact Information
Primary practice address
5903 Roosevelt Ave 2Nd Floor
Woodside NY 11377-3546
Phone: (718) 651-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 052969 | New York |
Profile Details
| NPI number | 1619195138 |
|---|---|
| LBN Legal business name | Mukhatiyar, Sapan Anil |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2007 |
| Last updated | Aug 29th, 2012 - about 13 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 | 1619195138 | NPPES |
| New York | MEDICAID | 02910263 |
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