Pichichero, Glen J
Pichichero, Glen J is an sole proprietor health care provider with primary practice located at 224 Long Beach Blvd , Long Beach NY 11561-4230. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pichichero, Glen J can be contacted via phone (516) 431-2333.Contact Information
Primary practice address
224 Long Beach Blvd
Long Beach NY 11561-4230
Phone: (516) 431-2333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 38761 | New York |
Profile Details
| NPI number | 1760755979 |
|---|---|
| LBN Legal business name | Pichichero, Glen J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2012 |
| Last updated | Feb 17th, 2012 - about 12 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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