Ostiago, Edwin
Ostiago, Edwin is an sole proprietor health care provider with primary practice located at 8215 Roosevelt Ave Fl 2 , Jackson Heights NY 11372-7034. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ostiago, Edwin can be contacted via phone (718) 205-7709.Contact Information
Primary practice address
8215 Roosevelt Ave Fl 2
Jackson Heights NY 11372-7034
Phone: (718) 205-7709
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 051025 | New York |
Profile Details
| NPI number | 1841403565 |
|---|---|
| LBN Legal business name | Ostiago, Edwin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1841403565 | NPPES |
| New York | MEDICAID | 02473518 |
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