Quarcoo, Stephen T
Quarcoo, Stephen T is an individual health care provider with primary practice located at 19818 Hillside Ave , Hollis NY 11423-2129. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Quarcoo, Stephen T can be contacted via phone (718) 776-5757.Contact Information
Primary practice address
19818 Hillside Ave
Hollis NY 11423-2129
Phone: (718) 776-5757
Fax: (718) 776-4893
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 02G777 | New York |
Profile Details
NPI number | 1972541969 |
---|---|
LBN Legal business name | Quarcoo, Stephen T |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 3rd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1972541969 | NPPES |
New York | MEDICAID | 00292791 |
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