Risotto, Thomas John
Risotto, Thomas John is an individual health care provider with primary practice located at 369 E Main St Suite 2, East Islip NY 11730-2800. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Risotto, Thomas John can be contacted via phone (631) 277-5566.Contact Information
Primary practice address
369 E Main St Suite 2
East Islip NY 11730-2800
Phone: (631) 277-5566
Fax: (631) 277-8690
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 029152 | New York |
Profile Details
NPI number | 1326057845 |
---|---|
LBN Legal business name | Risotto, Thomas John |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 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 | 1326057845 | NPPES |
New York | MEDICAID | 00626848 |
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