Prokosch-Cook, Gina M.
Prokosch-Cook, Gina M. is an sole proprietor health care provider with primary practice located at 45 Quassaick Ave , New Windsor NY 12553-6713. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Prokosch-Cook, Gina M. can be contacted via phone (845) 569-8900.Contact Information
Primary practice address
45 Quassaick Ave
New Windsor NY 12553-6713
Phone: (845) 569-8900
Fax: (845) 569-8916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 045579-1 | New York |
Profile Details
| NPI number | 1871632042 |
|---|---|
| LBN Legal business name | Prokosch-Cook, Gina M. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1871632042 | NPPES |
| New York | MEDICAID | 02318156 |
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