Peralta, Juan Alberto
Peralta, Juan Alberto is an sole proprietor health care provider with primary practice located at 3730 103Rd St Suite C1, Corona NY 11368-1900. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peralta, Juan Alberto can be contacted via phone (718) 426-0820.Contact Information
Primary practice address
3730 103Rd St Suite C1
Corona NY 11368-1900
Phone: (718) 426-0820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 041315-1 | New York |
Profile Details
| NPI number | 1528135696 |
|---|---|
| LBN Legal business name | Peralta, Juan Alberto |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 9th, 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 | 1528135696 | NPPES |
| New York | MEDICAID | 01125795 |
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