Roa, Jose Aristides
Roa, Jose Aristides is an sole proprietor health care provider with primary practice located at 4071 Denman St , Elmhurst NY 11373-1608. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roa, Jose Aristides can be contacted via phone (718) 476-1573.Contact Information
Primary practice address
4071 Denman St
Elmhurst NY 11373-1608
Phone: (718) 476-1573
Fax: (718) 478-2485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 044819 | New York |
Profile Details
| NPI number | 1205828423 |
|---|---|
| LBN Legal business name | Roa, Jose Aristides |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Nov 5th, 2012 - about 13 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 | 1205828423 | NPPES |
| New York | MEDICAID | 01460186 |
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