Pimentel, Edgar Andrew

Pimentel, Edgar Andrew is an sole proprietor health care provider with primary practice located at 570 W 204Th St , New York NY 10034-4008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Pimentel, Edgar Andrew can be contacted via phone (212) 567-3777.

Contact Information

Primary practice address
570 W 204Th St New York NY 10034-4008
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 203059 New York

Profile Details

NPI number 1598856007
LBN Legal business name Pimentel, Edgar Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Jul 1st, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598856007 NPPES
New York MEDICAID 01688513

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