Ortiz, Doris
Ortiz, Doris is an individual health care provider with primary practice located at 35A Guy Lombardo Ave , Freeport NY 11520-3604. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Ortiz, Doris can be contacted via phone (516) 546-6709.Contact Information
Primary practice address
35A Guy Lombardo Ave
Freeport NY 11520-3604
Phone: (516) 546-6709
Fax: (516) 546-0189
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 042609 | New York |
Profile Details
NPI number | 1972578904 |
---|---|
LBN Legal business name | Ortiz, Doris |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2006 |
Last updated | Jan 7th, 2013 - about 11 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 | 1972578904 | NPPES |
New York | MEDICAID | 01177628 |
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