Polt, Albina

Polt, Albina is an individual health care provider with primary practice located at 3753 91St St , Jackson Heights NY 11372-7901. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Polt, Albina can be contacted via phone (718) 205-4377.

Contact Information

Primary practice address
3753 91St St Jackson Heights NY 11372-7901
Phone: (718) 205-4377
Fax: (718) 205-8605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 049084 New York

Profile Details

NPI number 1205826591
LBN Legal business name Polt, Albina
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Mar 7th, 2023 - about last year

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 1205826591 NPPES
New York Other 049084 DENTAL LICENSE
New York MEDICAID 02117715 DENTAL LICENSE

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