Pavone, Anthony George
Pavone, Anthony George is an individual health care provider with primary practice located at 2 Medical Park Dr Ste 6 , West Nyack NY 10994-1966. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Pavone, Anthony George can be contacted via phone (845) 675-8008.Contact Information
Primary practice address
2 Medical Park Dr Ste 6
West Nyack NY 10994-1966
Phone: (845) 675-8008
Fax: (845) 675-8010
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 0491391 | New York |
Profile Details
NPI number | 1366538142 |
---|---|
LBN Legal business name | Pavone, Anthony George |
Credentials | D.D.S. M.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2006 |
Last updated | Feb 25th, 2021 - about 3 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 | 1366538142 | NPPES |
New York | Other | 2366611 | MEDICAL LICENSE |
New York | Other | 0491391 | MEDICAL LICENSE |
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