Portnoy, Edward Martin

Portnoy, Edward Martin is an sole proprietor health care provider with primary practice located at 3912 215Th St , Bayside NY 11361-2130. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Portnoy, Edward Martin can be contacted via phone (718) 225-2121.

Contact Information

Primary practice address
3912 215Th St Bayside NY 11361-2130
Phone: (718) 225-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 037716 New York

Profile Details

NPI number 1275656282
LBN Legal business name Portnoy, Edward Martin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2007
Last updated Jul 8th, 2007 - about 19 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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