Paticoff, Kenneth Alan
Paticoff, Kenneth Alan is an individual health care provider with primary practice located at 1992 Deer Park Ave , Deer Park NY 11729-2701. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Paticoff, Kenneth Alan can be contacted via phone (631) 667-0004.Contact Information
Primary practice address
1992 Deer Park Ave
Deer Park NY 11729-2701
Phone: (631) 667-0004
Fax: (631) 667-3388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 043927 | New York |
Profile Details
| NPI number | 1174506976 |
|---|---|
| LBN Legal business name | Paticoff, Kenneth Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| 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.
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